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Childhood trichobezoar.

A K Sood¹, L Bahl, R K Kaushal

¹Department of Paediatrics, Indira Gandhi Medical College, Shimla.

Indian Journal of Pediatrics

|July 8, 2000

Summary

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Two cases of pediatric trichobezoars presented unusually in rural girls. Surgical treatment was successful for both, one healthy and one with trichotillomania, with no recurrence observed.

Area of Science:

Pediatric Surgery
Gastroenterology
Clinical Case Reports

Background:

Trichobezoars, rare gastric foreign bodies formed from ingested hair, typically occur in children with psychological disturbances.
Unusual presentations can delay diagnosis and treatment, particularly in resource-limited settings.

Observation:

Two pediatric cases of trichobezoar in rural female children with distinct clinical presentations.
Case 1: A healthy, asymptomatic child with no prior behavioral issues.
Case 2: An emotionally disturbed child with a history of trichotillomania (hair-pulling disorder).

Findings:

Both cases were successfully treated with surgical excision of the trichobezoar.
No recurrence was noted in either patient during follow-up.

Related Experiment Videos

A specific physical sign, indentibility, was observed and discussed in relation to diagnosis.

Implications:

Highlights the importance of considering trichobezoars even in seemingly healthy children.
Emphasizes the need for thorough evaluation in cases of gastrointestinal obstruction in pediatric populations.
Suggests surgical intervention is an effective treatment with a low recurrence rate for pediatric trichobezoars.