When the Gut Tells a Story: Bezoars in a Neglected Autistic Child.

abdominal pain autism bezoar ctap fecal impaction pediatric psychiatric disorders rapunzel syndrome trichobezoar trichophagia

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Sep 2023
Historique:
accepted: 06 09 2023
medline: 9 10 2023
pubmed: 9 10 2023
entrez: 9 10 2023
Statut: epublish

Résumé

This case study delves into the unique presentation of bezoars in a 14-year-old autistic female who exhibited chronic diarrhea and abdominal pain. While trichobezoars, masses formed from ingested hair, are rare, they are predominantly seen in young females and are associated with psychiatric conditions. Through rigorous diagnostic procedures, including a computed tomography imaging of the abdomen and pelvis (CTAP) scan, fecal impaction, and multiple bezoars, including hair and non-biological items, were identified. The background revealed significant neglect, emphasizing the importance of a comprehensive approach that integrates medical, surgical, and psychosocial care.

Identifiants

pubmed: 37809207
doi: 10.7759/cureus.44775
pmc: PMC10557536
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e44775

Informations de copyright

Copyright © 2023, Ba-Shammakh et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Dig Surg. 2007;24(3):157-61
pubmed: 17476105
Mayo Clin Proc. 1998 Jul;73(7):653-6
pubmed: 9663194
J Dermatol. 2000 Jan;27(1):24-6
pubmed: 10692820
Gastroenterol Hepatol (N Y). 2012 Nov;8(11):776-8
pubmed: 24672418
Cureus. 2021 Dec 28;13(12):e20785
pubmed: 35111469
Curr Surg. 2001 Mar;58(2):202-204
pubmed: 11275246
Child Psychiatry Hum Dev. 2022 Feb;53(1):165-171
pubmed: 33420536
Clin Med Res. 2009 Sep;7(3):99-102
pubmed: 19625498
Radiol Case Rep. 2022 Apr 22;17(6):2243-2246
pubmed: 35496748
Nervenarzt. 2000 Jul;71(7):584-7
pubmed: 10989814
Front Pediatr. 2021 Jun 09;9:684379
pubmed: 34178901
Radiology. 1989 Sep;172(3):705-7
pubmed: 2772176
BMJ Case Rep. 2020 Jan 21;13(1):
pubmed: 31969411
J Pediatr Surg. 2013 Apr;48(4):830-4
pubmed: 23583142
J Pediatr Surg. 2005 Oct;40(10):1665-7
pubmed: 16227005
BMJ Case Rep. 2022 Jul 4;15(7):
pubmed: 35787501

Auteurs

Saleh A Ba-Shammakh (SA)

Department of General Surgery, The Islamic Hospital, Amman, JOR.

Eman A Al-Zughali (EA)

Department of Internal Medicine, The Islamic Hospital, Amman, JOR.

Salwa M Al-Bustanji (SM)

Department of Internal Medicine, The Islamic Hospital, Amman, JOR.

Classifications MeSH