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An unusual cause of gastric outlet obstruction in a young girl: Trichobezoar
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Reanimation, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Gastrology, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Gastrology, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 1 Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 2 Department of Reanimation, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 3 Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 4 Department of Gastrology, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 5 Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 6 Department of Gastrology, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 7 Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
- 8 Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia
Open Journal of Gastroenterology·Volume 02 (2012)·Pages 206–208·Published 29 November 2012·DOI10.4236/ojgas.2012.24041
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Abstract
Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosis difficult. We report the case of a 6-year-old girl with a history of abdominal pain, distension, weight loss, and attacks of vomiting. Upper gastrointestinal endoscopy revealed a trichobezoar occupying almost the whole gastric cavity. The gastric bezoar was removed by surgery. Gastric trichobezoar is exceptional in young children and can lead to stunting and gastric outlet obstruction. After definitive surgical or endoscopic treatment, pediatric psychiatric consultation should be opted for any mental disorder and for prevention of further recurrence.
KeywordsTrichobezoarYoung ChildrenGastric Outlet ObstructionTrichotillomania
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