RESUMEN
Trichobezoar, a rare condition of intragastric hair accumulation is commonly associated with an underlying psychological condition. Removal of the bezoar either endoscopically or surgically (laparoscopy or laparotomy) with concurrent psychiatric assessment and treatment is the mode of treatment. We present a 10-year-old child with recurrent trichobezoar, who was managed surgically the first time, and subsequently endoscopic removal was done on recurrence of bezoar after 3 months. We also present the difficulties encountered during endoscopic bezoar removal.
RESUMEN
A 7-day-old 600 grams baby with a post-conceptual age of 29 weeks presented with features suggestive of hollow viscous perforation, and was posted for an emergency laparotomy. In addition, she had a fractured indwelling umbilical arterial catheter which was planned for extraction in the same sitting. Radiological imaging showed that the catheter extended into the stump of the umbilical cord. She underwent exploratory laparotomy and ileal resection anastomosis, following which the stump was explored. However, the catheter could not be identified, and we suspected that it had embolised into the aorta. Using ultrasound guidance, we identified the catheter within the aorta. The aorta was cross-clamped, and the catheter extracted through an aortotomy which was later sutured.
