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Vol. 5 No. 2 (2019)

February 2020

A Case of Giant Gastric Trichobezoar

  • Saeed Aslanabadi
  • Davoud Badebarin
  • Sina Parsay
  • Masoud Jamshidi
  • Ebrahim Farhadi
  • Amirhossein Ladan

Iranian Journal of Pediatric Surgery, Vol. 5 No. 2 (2019), 4 February 2020 , Page 98-101
https://doi.org/10.22037/irjps.v5i2.23729 Published: 2020-02-04

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Abstract

Trichobezoar is an unusual form of bezoar found in the digestive tract, mostly in the stomach. The patient is often a female in her adolescence who pulls out and swallows her hair. This habit could stem from anxiety and the trichotillomania disorder. These hairs accumulate in the stomach and cause gastrointestinal symptoms. Our patient is a 14-year-old girl who came to us complaining of abdominal pain. Upon further evaluation by ultrasonography and endoscopy, trichobezoar was diagnosed. Laparotomy and gastrotomy were performed,and a large bezoar was removed. Although the occurrence of trichobezoar is rare, surgeons should always consider the situation in patients with vague gastrointestinal symptoms and psychological problems, especially in young female individuals.

Keywords:
  • Trichobezoar
  • Trichotillomania
  • Trichophagia
  • Gastrotomy
  • Rapunzel Syndrome
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How to Cite

Aslanabadi, S., Badebarin, D., Parsay, S., Jamshidi, M., Farhadi, E., & Ladan, A. (2020). A Case of Giant Gastric Trichobezoar. Iranian Journal of Pediatric Surgery, 5(2), 98–101. https://doi.org/10.22037/irjps.v5i2.23729
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References

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Gorter R, Kneepkens C, Mattens E, et al: Management of trichobezoar: case report and literature review. Pediatric surgery international 2010;26(5):457-63.

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Ramlingam P, Kartheek G, Rao KS, et al: Rapunzel Syndrome—Gossypol Trichobezoar Case Report and Review of Literature. Indian Journal of Surgery 2018:1-3.

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Ersoy Y, Ayan F, Ayan F, et al: Gastro-intestinal bezoars: thirty-five years experience. Acta Chirurgica Belgica 2009;109(2):198-203.

Tudor E, Clark M: Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time. Journal of pediatric Surgery 2013;48(3):e13-e5.

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