[Gastric tricobezoar: a rare cause of tumoral syndrome and pyloric obstruction]. / Tricobezoar gástrico: una causa poco frecuente de síndrome tumoral y de obstrucción pilórica.

UNLABELLED: A Trichobezoar is a rare tumoral mass of the gastrointestinal tract, formed mainly from the ingestion of hair. It contains also mucus and foods debris. CASE PRESENTATION: A 22 years old female with a 10 years history of surgery secondary to gastric foreign body (trichobezoar), presents with abdominal pain, swelling, nausea and vomiting. Physical examination of the abdomen revealed a palpable mass in the epigastric and left upper quadrant regions. It was also noted areas of alopecia of the scalp. DISCUSSION: Ninety percent of the trichobezoars present in females with a high frequency between 10-19 years. The treatment of bezoars (unless small in size) is mainly surgical. A psychiatric evaluation and follow up is important after surgery hence in most cases there is a psychological disorder that lead to the ingestion of hair.

Tricobezoar gástrico: una causa poco frecuente de síndrome tumoral y de obstrucción pilórica / Gastric Tricobezoar: a rare cause of tumoral syndrome and pyloric obstruction

El tricobezoar es una rara formación tumoral gástrica causada por un cuerpo extraño compuesto fundamentalmente por pelo; también contiene moco y fragmentos de alimentos. Presentación del caso: Paciente de 22 años que hace 10 años fue intervenida por cuerpo extraño gástrico (tricobezoar), ahora refiere cuadro de dolor abdominal, distensión, náuseas y vómitos, al examen físico presencia de masa abdominal palpable en epigástrico y cuadrante superior izquierdo. En la cabeza se observaron zonas alopécicas. Discusión: El 90% de los tricobezoares se presentan en el sexo femenino. Su máxima frecuencia es entre 10 y 19 años. El tratamiento de los bezoares, excepto los más pequeños, es quirúrgico. El control psiquiátrico postoperatorio es fundamental ya que en casi todos los casos existe en el fondo un conflicto afectivo que perpetúa el hábito de ingerir cabello.

A Trichobezoar is a rare tumoral mass of the gastrointestinal tract, formed mainly from the ingestion of hair. It contains also mucus and foods debris. Case presentation: A 22 years old female with a 10 years history of surgery secondary to gastric foreign body (trichobezoar), presents with abdominal pain, swelling, nausea and vomiting. Physical examination of the abdomen revealed a palpable mass in the epigastric and left upper quadrant regions. It was also noted areas of alopecia of the scalp. Discussion: Ninety percent of the trichobezoars present in females with a high frequency between 10 - 19 years. The treatment of bezoars (unless small in size) is mainly surgical. A psychiatric evaluation and follow up is important after surgery hence in most cases there is a psychological disorder that lead to the ingestion of hair.