Unusual Cause of Palpable Mass in Upper Abdomen—Giant Gastric Trichobezoar: Report of a Case

Pogorelić, Zenon; Jurić, Ivo; Žitko, Vanda; S, Britvić-Pavlov; Biočić, Mihovil

doi:10.1080/00015458.2012.11680816

Cited by 11 publications

(9 citation statements)

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“…The first report of the successful endoscopic removal of a trichobezoar was for one that was relatively small, weighing only 55g [17]. Reports of successful endoscopic removal of trichobezoars in children are remarkably scarce - they are vastly outnumbered by case reports documenting unsuccessful attempts of endoscopic removal with or without fragmentation [8,14]. In our patient, two big masses were found, and endoscopic removal would have been challenging and not safe.…”

Section: Discussionmentioning

confidence: 80%

“…An analysis of the published case reports revealed that out of 40 cases in which endoscopic removal had been tried, only two (5%) were successful [8]. In one of these, a trichobezoar was successfully removed whole from the distal esophagus [8].…”

Section: Discussionmentioning

confidence: 99%

“…In one of these, a trichobezoar was successfully removed whole from the distal esophagus [8]. In a series of 15 patients with bezoars, a 15-year-old girl underwent fragmentation of a large trichobezoar by means of a modified needle-knife and mono-polar coagulation current.…”

Section: Discussionmentioning

confidence: 99%

“…This condition is called Rapunzel syndrome and was first described by Vaughan et al in 1968 [5]. In addition, parts of the tail can break off and migrate to the small intestine, causing intestinal obstruction [6-8]. Trichobezoars may not be recognized in their early stages because of their nonspecific presentation, or even lack of symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Unusual trichobezoar of the stomach and the intestine: a case report

et al. 2014

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IntroductionTrichobezoars are an infrequent form of bezoar found in the stomach or intestine, created from ingested hair. This condition has been well described in the surgical literature, but less reported in psychiatry.Case presentationWe describe the case of an 18-year-old Middle Eastern Caucasian woman with trichotillomania who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparotomy.ConclusionThe medical and psychiatric sequelae of trichotillomania should not be underestimated, and early diagnosis and treatment is of utmost importance to save the patient’s life and prevent recurrence. Although laparotomy is still considered an excellent option, pharmacotherapy and behavioral assessment play a useful role in patient management. Our case highlights the fundamental concept of a holistic approach rather than only treating the symptoms, by considering factors such as genetic influences to understand the disease.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unusual trichobezoar of the stomach and the intestine: a case report

et al. 2014

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“…Oesophagogastroduodenoscopy is indicated for definitive diagnostic and therapeutic purposes [ 6 – 10 ]. The procedure enables direct visual assessment of the mass and any ulcers.…”

Section: Discussionmentioning

confidence: 99%

Complications of Bezoar in Children: What Is New?

Hon

Cheng

Chow

et al. 2013

Case Reports in Pediatrics

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A bezoar is a mass found trapped in the gastrointestinal system. The condition may be associated with pica, especially in developmentally retarded children. Clinical manifestations are usually nonspecific. Endoscopic diagnosis and removal of the foreign materials is often indicated. Occasionally, severe complications may occur. We report two cases to illustrate the clinical features and complications in these children. In the first case, a reliable history was not obtained in the developmentally delayed girl which precluded prompt diagnosis, but the grossly dilated stomach on plain abdominal radiograph gave clues to an underlying insidious mechanical obstruction of upper gastrointestinal tract. In the second case of a normal child, the unrelenting symptoms and weight loss prompt further investigations which revealed the diagnosis. Literature on pediatric bezoar is reviewed. Oesophagoduodenoscopy is the investigation of choice for diagnostic confirmation, but surgical facilities must be available to deal with acute complications.

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