Gastric Trichobezoar without trichotillomania: A diagnostic dilemma
نویسندگان
چکیده
Trichobezoar (hairs ball in stomach) is an uncommon clinical entity. Plucking of hairs Trichotillomania and swallowing (trichophagia) of hairs are two essential conditions needed in development of trichobezoar. It is very rare to suffer with trichobezoar in the absence of trichotillomania. In this report we present two cases of trichobezoar associated with trichophagia in the absence of trichotillomania. A 32-years-old female mother of three children suffered with trichobezoar without trichotillomania as she developed taste and urge for hairs and stated eating hairs thrown by other ladies in the family. An 11-year-old girl presented with trichobezoar. Examination of scalp and other body parts did not show any evidence of pulling of hair/short hair as she was eating hairs thrown by others as she developed a taste and strong desire to eat hairs. To conclude, these two cases highlight that patients can have trichobezoar and trichophagia even in the absence of trichotillomania and can pose diagnostic dilemma for physician.
منابع مشابه
Trichophagia and Trichobezoar: Case Report
OBJECTIVE Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the trichobezoar extends past the duodenum it is better referred to as Rapunzel Syndrome. Although trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomani...
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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, ...
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