Laparoscopic Treatment of Gastric Trichobezoar
نویسنده
چکیده
Trichobezoar is a mass of swallowed hair that accumulates in the stomach and fails to pass through the intestines. They occur in young patients, typically female with mental disorders. Many approaches have been proposed for the treatment of bezoars, such as gastroscopic fragmentation, nasogastric lavage or suction, enzymatic therapy, and laparotomy. With the advent of laparoscopic surgery, it became possible to remove such lesions without large abdominal incisions, better cosmetics and reduced pain. The aim of the study is to present an 18-year-old female who had gastric trichobezoar that was successfully treated with a laparoscopic technique, using anterior gastrotomy and laparoscopic suture. The laparoscopic approach may be the treatment of choice for trichobezoar removal in the future, with potential benefits to the patients.
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, ...
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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 des...
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, ...
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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...
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BACKGROUND AND OBJECTIVES Gastric bezoars are a rare clinical entity, most commonly observed in patients with mental or emotional illness. Large bezoars can be difficult to remove laparoscopically without extending a port incision. METHODS We report the case of a large symptomatic trichobezoar with Rapunzel syndrome that occurred in a 17-year-old girl who had trichotillomania. RESULTS The b...
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