The giant in the stomach – trichobezoar
نویسندگان
چکیده
Bezoar is an uncommon phenomenon which results from the accumulation of ingested foreign material such as hair, fur or fiber which can easily lead to formation of a large mass in the intestinal tract [1]. Bezoars were once prized as magical items with protective properties. The word “bezoar” comes from the Persian for “protection from poison”. People would place bezoars in their drinking glasses as an antidote to any potential poisons, and even set them into jewelry. There was a gold-framed bezoar in the Crown Jewels of Queen Elizabeth I as recently as 1962. During diagnostic gastrointestinal endoscopy it can be found in less than 1% of all patients complaining about nonspecific abdominal symptoms [2]. The first case was reported in the literature by Baudomant in 1779 [3] and the first surgical removal was performed in 1883 by Schonbern [3]. Depending on what it is made of we can distinguish different bezoars. The major types are phytobezoars (composed of vegetable fibers), trichobezoars (hair, fur), and pharmacobezoars (drugs). Medications reported to cause bezoars include aluminum hydroxide gel, enteric-coated aspirin, sucralfate, guar gum, cholestyramine, enteral feeding formulas, psyllium preparations, nifedipine, and meprobamate [4]. The structure grows because of continuous supply of food rich in cellulose, matted together by protein, mucus and pectin. Bezoars are rare in healthy people. It is believed that any previous operations or gastric dysfunction can lead to formation of a new mass. More recent studies have shown that 70% to 94% of patients with bezoars have a history of gastric surgery and 54% to 80% have undergone vagotomy, pyloroplasty, subtotal distal gastrectomy or antrectomy [5]. It is also statistically significant for patients with impaired gastric emptying to have a higher chance of getting a bezoar. Diabetics with autonomic neuropathy are also at risk. Trichotillomania (repeated action of pulling the hair for pleasure or decreasing tension) and trichophagia The giant in the stomach – trichobezoar
منابع مشابه
Giant Gastric Trichobezoar In A Female Teenager
Trichobezoar is a rare pathology in which swallowed hairs accumulate in the stomach. Large amounts can thus accumulate over the years forming a hair ball. The usual presentatation is with early satiety and malnutrition. The diagnosis may be suspected in young females with abdominal pain, epigastric mass and malnutrition, who have a history of trichophagia. A small trichobezoar can be treated us...
متن کاملGiant gastric trichobezoar in a young female with Rapunzel syndrome: case report
Rapunzel syndrome is an extremely rare complication of a gastric trichobezoar in. We report here the unusual case of a case of a 16 years old girl presented with severe abdominal pain and vomiting. Clinical examination revealed a malnourished girl, with presence of a mobile and sensitive abdominal mass of 20x15 cm witch filled the upper quadrant. An abdominal computed tomography scan showed a h...
متن کاملGiant trichobezoar mimicking gastric tumour.
We present a case of giant gastric trichobezoar retrieved through a long gastrotomy in a 40 years old married women from rural Sindh with unreported psychological disturbance. Trichobezoar almost exclusively occur in females with an underlying psychiatric disorder. It has an insidious development of symptoms which accounts for its delayed presentation and large size at the time of diagnosis. Th...
متن کاملUnusual cause of gastric outlet obstruction: giant gastric trichobezoar: a case report
BACKGROUND Trichobezoars are caused by hair ingestion. The usual presentation of a trichobezoar is with early satiety and malnutrition. Obstructive symptoms and manifestations of gastric outlet obstruction may occur. The diagnosis may be suspected in young females with malnutrition, who have a history of trichophagia. CASE PRESENTATION We report a case of 12-year-old female admitted to the em...
متن کاملA Huge Gastric Trichobezoar in a Teenage Girl
A 13-year-old girl presented with a history of not being well during the past six months. The ultrasound examination showed an epigastric mass, which was diagnosed as a bezoar within the stomach in upper gastrointestinal endoscopy. The patient was managed by operative evacuation. It was interesting that such a large bezoar did not cause any significant obstruction for the patient.
متن کامل