Gastric ulceration and perforation secondary to large trichobezoar – A case report describing the role of magnetic resonance imaging in diagnosis

Hennessy, Mairéad M.; Ivanovski, Ivan; Súilleabháin, C.B.Ó.

doi:10.1016/j.ijscr.2018.01.004

Cited by 6 publications

(5 citation statements)

References 10 publications

(13 reference statements)

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“…It can cause symptoms like vomiting, abdominal pain, early satiety, and anorexia . In most patients, the physical examination is unremarkable and bezoars are found accidently, by abdominal radiography, abdominal ultrasound, or CT scan . Complications often associated with bezoars include gastrointestinal perforation, appendicitis, constipation, peritonitis, and obstruction .…”

Section: Discussionmentioning

confidence: 99%

Intraluminal bezoar caused obstruction and pancreatitis: A case report

Ebrahimian

Nadri

2019

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Intraluminal bezoar caused obstruction and pancreatitis: A case report

Ebrahimian

Nadri

2019

Clinical Case Reports

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“…However, surgery is usually necessary for intestinal bezoars, and for gastric bezoars that are too difficult to dissolve or remove endoscopically. A case of gastric bezoar that was initially being managed surgically by laparoscopy resulted in the surgery being converted to laparotomy as the bezoar was too difficult to remove 9 …”

Section: Discussionmentioning

confidence: 99%

“…A case of gastric bezoar that was initially being managed surgically by laparoscopy resulted in the surgery being converted to laparotomy as the bezoar was too difficult to remove. 9 Surgery poses a risk for complications including minimally invasive surgeries. Such complications can involve the development of pelvic abscesses, which are infected exudate formed from liquefactive necrosis.…”

Section: Introductionmentioning

confidence: 99%

Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications

Powell,

Pereira

2023

Clinical Case Reports

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Key Clinical MessageBezoars can cause gastrointestinal obstruction and may require surgery. Surgery carries the risk of complications. Medical professionals should perform detailed history in diet and behaviors for patients presenting with abdominal pain to identify risk factors for bezoars, then educate these patients and their families about risks and complications of bezoars.AbstractBezoars are solid masses of undigested material that can cause obstruction of the gastrointestinal tract. There are different types of bezoars; phytobezoar, trichobezoar, pharmacobezoar, lactobezoar, and bezoars containing tissue paper or polystyrene foam. This case report is of a 13‐year‐old Hispanic male who suffered a postsurgical complication after removal of bezoar. He had a past surgical history of appendectomy and presented to the hospital with a 1‐day history of right lower quadrant abdominal pain associated with fever and diarrhea. X‐radiation images and computed tomography scans aided in the diagnosis of pelvic abscess as a complication of postsurgical enterotomy and closure of the enterotomy to remove bezoar from the small bowel. The initial bezoar removal and the postsurgical complication of pelvic abscess resulted in the patient staying for 19 days in the hospital. At discharge, the patient and his guardian were advised to follow up with the patient's primary care physician and surgical team. The patient made an uneventful recovery. He did not experience any long‐term complications and fully recovered. This report demonstrates that although bezoars are rare, they can cause significant obstruction of the gastrointestinal tract leading to the need for management, such as surgery, which carries its own risks. It is important to note that the postsurgical complication of pelvic abscess can occur due to surgery itself and not because of bezoar specifically. Abdominal surgery in general poses the risk of pelvic abscess. The consideration is to expectantly decrease the occurrence of bezoars so that consequently there will not be a need for surgery in removal of bezoars due to obstruction. The effects of bezoars can be prevented through educating the community and addressing underlying psychiatric disorders.

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“…Metode laparotomi sering menjadi metode pilihan karena efektif dan memungkinkan pemeriksaan lebih cermat pada seluruh traktus gastrointestinal. 10,14 Gambar 2. Prosedur pengangkatan trichobezoar dengan metode gastrotomi anterior 10 Modalitas tatalaksana lainnya seperti extracorporeal shock-wave lithotripsy, laser ignited mini-explosive technique, pemberian enzim intragaster (lipase pankreas, selulase), dan obat-obatan (metoklopramid, asetilsistein) dilaporkan dengan tingkat keberhasilan bervariasi.…”

Section: Tinjauan Pustakaunclassified

Sindrom Rapunzel – Diagnosis dan Tatalaksana

Hardika¹

2021

CDK

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<p>Sindrom Rapunzel merupakan kondisi medis terdapatnya massa (gumpalan) rambut yang terperangkap di gaster atau sampai menuju usus halus. Gangguan psikiatri trikotilomania dan trikofagia menjadi faktor predisposisi gastric trichobezoar. Kondisi ini dominan ditemukan pada remaja perempuan. Manifestasi klinis biasanya non-spesifik berupa nyeri abdomen, mual, dan muntah. Endoskopi menjadi baku emas diagnosis. Metode endoskopi dan open surgery merupakan pilihan modalitas pengangkatan massa (trichobezoar). Pendekatan multidisiplin evaluasi psikiatri berkala sangat perlu guna mencegah berulang.</p><p>Rapunzel Syndrome is a medical condition of solid mass (accumulation) of hair in stomach and may extend to small intestine. Psychiatric disorders, such as trichotillomania and trichophagia, are two predisposition factors for gastric trichobezoar. This condition is predominantly found in young female. Clinical manifestation is usually non-specific gastrointestinal symptoms, like abdominal pain, nausea, and vomiting. Endoscopic examination is the gold standard for diagnosis. The main management is removal by endoscopy or open surgery. Multidiscipline approach including regular follow up and psychiatric evaluation is required to prevent its recurrence.</p>

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Gastric ulceration and perforation secondary to large trichobezoar – A case report describing the role of magnetic resonance imaging in diagnosis

Cited by 6 publications

References 10 publications

Intraluminal bezoar caused obstruction and pancreatitis: A case report

Intraluminal bezoar caused obstruction and pancreatitis: A case report

Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications

Sindrom Rapunzel – Diagnosis dan Tatalaksana

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