Trichobezoar presenting as an acute abdominal obstruction in a 17-year-old girl.
Paediatr Int Child Health
; 42(2): 95-99, 2022 05.
Article
in En
| MEDLINE
| ID: mdl-35253632
ABSTRACT
Trichobezoars are hairballs that combine with food residue in the digestive tract as a result of ingesting hair. A 17-year-old girl was admitted to the emergency department with abdominal pain and vomiting for 3 days. She had been having digestive difficulty and bloating for the previous 2 months. An abdominal radiograph demonstrated air-fluid levels consistent with ileus, and an ultrasound showed hyperechoic material in the stomach and ileum. Computed tomography demonstrated images of trapped air which was considered diagnostic of a bezoar. At laparotomy, a large mass was removed from the stomach. As the bezoar extended through the pylorus and duodenum and there were mobile masses palpable in the ileum, it required a second incision to remove them. For some years she had had a habit of swallowing hair which she found on her pillow and there was a history of an obsessive personality trait and hyperactivity for which she agreed to attend a psychiatric clinic.Abbreviations BMI body mass index; CT computed tomography; Hb haemoglobin; IV intravenous; WHO World Health Organization.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bezoars
/
Intestinal Obstruction
Type of study:
Diagnostic_studies
Limits:
Adolescent
/
Female
/
Humans
Language:
En
Journal:
Paediatr Int Child Health
Year:
2022
Document type:
Article
Affiliation country:
Turkey