trichobezoar causing gastric perforation: a case report
نویسندگان
چکیده
trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. they occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. trichobezoars are usually diagnosed on ct scan or upper gi endoscopy. they can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis, or obstruction, with a high rate of mortality. the treatment is endoscopic, laparoscopic, or surgical removal and usually followed by psychiatric opinion. herein, we report a case of gastric trichobezoar presenting as gastric perforation in a patient of trichotillomania and trichophagia that was accidentally found on laparotomy. as the patient was in shock on admission, relevant history of trichophagia could not be elicited. henceforth, she was operated for perforation peritonitis. trichobezoar was discovered intraoperatively and removed. the perforation was repaired with graham’s omental patch. postoperatively, history of trichophagia was corroborated with scarring alopecia of scalp. trichobezoars is usually seen in adolescent girls, often with an underlying psychiatric or social problem. laparotomy is the gold standard treatment. surgical treatment should be followed by behavioral and psychiatric treatment. the patient should be vigilantly monitored for this impulsive disorder, as recurrences are common.
منابع مشابه
Trichobezoar Causing Gastric Perforation: A Case Report
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Trichobezoars are usually diagnosed on CT scan or upper GI endoscopy. They can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis, ...
متن کاملTrichobezoar Causing Gastric Perforation: A Case Report.
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Trichobezoars are usually diagnosed on CT scan or upper GI endoscopy. They can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis, ...
متن کاملGastric trichobezoar: case report.
Bezoars are foreign bodies impacted in the digestive tract resulting of their ingestion and accumulation, involving mainly the stomach. The most common types are phytobezoars, containing vegetables, fiber and seed, and the trichobezoar, made of hair. The present case is the description of a 25-year-old female with nonspecific dyspeptic symptoms associated to intestinal habit change. The diagnos...
متن کاملA case of gastric trichobezoar causing psychiatric problems
Trichobezoar is characterized by the accumulation of hair in the gastrointestinal tract and usually occurs in those who have trichotillomania, other psychiatric disorders, or neurologic problems. Trichobezoar typically presents as gastric obstruction, including abdominal pain, vomiting, anorexia, and weight loss. A 9-year-old girl visited our clinic with the complaint of abdominal discomfort an...
متن کاملClosed-perforation of gastric fundus and gastric outlet obstruction caused by a giant gastric trichobezoar: A case report.
A bezoar is a mass formed because of the accumulation of indigestible material in the stomach and/or small intestine. Bezoars are rare but occasionally occur with acute abdomen findings. Bezoars form as a result of changes in the gastrointestinal system anatomy and physiology and repetitive exposure to the ingested material. These materials can include vegetables with high fiber content (phytob...
متن کاملGastric trichobezoar presenting as gastric outlet obstruction--a case report.
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Removal of gastric trichobezoar by open surgery (gastrotomy) is a standard approach. Psychiatric follow-up is needed to diminish the recurrence of trichotillomania and trichopha...
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عنوان ژورنال:
iranian journal of medical sciencesجلد ۴۱، شماره ۱، صفحات ۶۷-۰
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