Laparoscopic Removal of a Large Gastric Trichobezoar in a 4-Year-Old Girl
نویسندگان
چکیده
BACKGROUND Standard treatment of large gastric bezoars not amenable to medical or endoscopic management is surgical removal. The optimal operative approach, laparotomy versus laparoscopy, is a contested subject. Though laparoscopic removal has been described, it remains a relatively new technique for surgical management with outcome literature limited to case reports. In addition, currently described laparoscopic techniques often involve limited midline laparotomy incisions or >3 cm extensions of port sites. METHODS The following describes the case of a 4-year-old girl with a large gastric trichobezoar. RESULTS The gastric trichobezoar was successfully removed through a 12-mm left lower quadrant trocar incision cosmetically hidden within a skin crease. CONCLUSION This case, along with accumulating literature, supports the use of laparoscopy to treat large gastric bezoars.
منابع مشابه
A 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.
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