Management of a trichobezoar caused by consumption of artificial hair extensions.
endoscopy
gastrointestinal surgery
impulse control disorders
stomach and duodenum
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
26 Jan 2020
26 Jan 2020
Historique:
entrez:
29
1
2020
pubmed:
29
1
2020
medline:
8
10
2020
Statut:
epublish
Résumé
Trichobezoars are rare, but most commonly found in young women with trichophagia and trichotillomania. Complications can include iron deficiency anaemia and gastric erosion or, rarely, perforation. A 19-year-old woman presented with epigastric pain, vomiting and lethargy. Initial investigations revealed a palpable abdominal fullness on examination and iron deficiency anaemia. Oesophagogastroduodenoscopy found a large trichobezoar associated with gastric erosions, polyps and an ulcer. Subsequently, the patient reported previous consumption of artificial hair extensions, which ceased 5 years previously. Attempts to remove the trichobezoar by endoscopy were ineffective and in line with current literature, laparotomy was successful. This case describes a rare cause of trichobezoar and emphasises the importance of appropriate initial investigations and definitive management.
Identifiants
pubmed: 31988057
pii: 13/1/e232720
doi: 10.1136/bcr-2019-232720
pmc: PMC7021159
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Dig Dis Sci. 1992 Nov;37(11):1694-6
pubmed: 1425068
Psychosomatics. 2010 Sep-Oct;51(5):443-6
pubmed: 20833945
Pediatr Surg Int. 2010 May;26(5):457-63
pubmed: 20213124
Int J Surg Case Rep. 2015;17:155-7
pubmed: 26629852
Clin Gastroenterol Hepatol. 2014 May;12(5):A33-4
pubmed: 24486736
Gut. 2011 Oct;60(10):1309-16
pubmed: 21561874