Trichobezoar: A Rare Cause of Abdominal Mass Outlet Obstruction

The authors present the clinical case of a 14-year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. There was a back- ground of trichophagia for 2 years without evidence of alopecia or psychiatric history. The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter. Abdominal ultrasonography showed thickening of the gastric wall and antrum with gastric distension. The abdominal tomography scan and endoscopic examination revealed the presence of a bulky trichobezoar occupying almost the entire gastric lumen. It was decided to undergo gastrotomy and extraction of the bezoar. The postoperative period was uneventful.

Saved in:
Bibliographic Details
Main Authors: Couceiro,Ana, Viveiro,Carolina, Capelão,Gustavo, Nobre,João, Laureano,Mónica, Gonçalves,Inês, Clara,Paulo, Amado,Sandra, Rezende,Teresa, Inácio,Ana, Santos,Miguel Coelho
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Gastrenterologia 2016
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000100010
Tags: Add Tag
No Tags, Be the first to tag this record!