A Case Report of Trichobezoars

Abstract

Bezoars are masses of solidified organic or non biological material commonly found in the stomach and small bowel. There are many types of them such as: phytobezoar, trichobezoars, lactobezoars and food boluses. Phytobezoars are the commonest among these. Stomach is the commonest site for bezoar formation. Bezoars can result in obstruction, irritation and damage to the gastric wall and malnutrition. Trichobezoars are associated with trichotillomania a disorder characterized by failure to resist impulse to pull out ones hair. Although bezoars are not rare, multiple giant bezoars which totally fill the stomach lumen and have extension to the small intestine (Rapunzel syndrome) are very rare. This is case report of young girl who had a history of mass per abdomen and evaluated by ultrasound abdomen and CT abdomen. The diagnosis was confirmed by endoscopy and bezoar was removed by gastrostomy.