GIANT TRICHOBEZOAR MIMICKING GASTRIC TUMOUR
AbstractAbstract: We present a case of giant gastric trichobezoar retrieved through a long gastrotomy in a 40years old married women from rural Sindh with unreported psychological disturbance. Trichobezoaralmost exclusively occur in females with an underlying psychiatric disorder. It has an insidiousdevelopment of symptoms which accounts for its delayed presentation and large size at the time ofdiagnosis. They are associated with trichophagia (habit of compulsive hair eating) and are usuallydiagnosed on CT Scans or upper GI Endoscopy. They can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis or obstruction with a high rate of mortality.The treatment is endoscopic, laparoscopic or surgical removal and usually followed by psychiatricopinion.Keywords: Trichobezoar, Psychiatric Disorder, Management
Elgood C.A tratise on the bezoar stone. Ann Med History
DeBakey M. Ochsner A. Bezoars and concretions. Surgery
Lall MM. Dhall JC. Trichobezoar: a collective analysis of 39 cases
from India with a case report Ind Paed 1975;12:351–3.
Rees M. Intussusception caused by multiple trichobezoars: a
surgical trap for the unwary. Br J Surg 1984;71:721.
Sullivan MJO, Mc Greal G, Walsh JC, Redmond HP.
Trichobezoar. J R Soc Med 2001;94:68–70.
Wadlington WB, Rose M, Holcomb GW Jr. Complications of
trichobezoars: a 30-year experience. South Med J. 1992;85:1020–2.
Shulutko AM, Agadzhonov CG, Kazaryan AM, Minilaparotomy
removal of giant gastric trichobezoar in a female teenager.
Medscape J Med 2008;10(9):220.
Cohen LJ, Stein DJ, Simeon D, Spadaccini E, Rosen
J, Aronowitz B, et al. Clinical profile, Co morbidity, and
treatment history in 123 hair pullers: A survey study. J Clin
Memon AS, Mandhan P, Qureshi JN, Shirani AJ. Recurrent
Rapunzel Syndrome - a Case Report Med Sc.i Monit
Tamminen J, Rosenfeld D. CT diagnosis of a gastric trichobezoar.
Comput Med Imaging Graph 1988;12:339–41.
Sinzig M, Umschaden HW, Haselbach H, Illing P. Gastric
trichobezoar with gastric ulcer: MR Findings. Paediatr Radiol
Ko YT, Lim JH, Lee DH, Yoon Y. Small intestine phytobezoars:
songographic detection. Abdom Imaging 1993;18:271–3.
Gaia E, Gallo M, Caronna S, Angeli A. Endoscopic diagnosis and
treatment of gastric bezoars. Gastrointest Endosc. 1998;48:113–4.
Song KY, Choi BJ, Kim SN, Park CH. Laparoscopic removal of
gastric bezoar. Surg Laparosc Endosc Percutan Tech.
Cifuentes Tebar J, Robles Campos R, Parrilla Paricio
P, Lujan Mompean JA, Escamilla C, Liron Ruiz R, , et al.
Gastric surgery and bezoars. Dig Dis Sci. 1992;37:1694–6.
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