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Intestinal trichobezoar with perforation in a child.

V Sharma1, I D Sharma

  • 1Department of Surgery, King George's Medical College, Lucknow, India.

Journal of Pediatric Surgery
|April 1, 1992
PubMed
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A rare case of a 4-year-old girl with an ileal trichobezoar causing perforation is presented. This hairball led to peritonitis, highlighting a critical surgical emergency in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Intestinal obstruction and perforation are serious pediatric surgical emergencies.
  • Trichobezoars, foreign bodies composed of ingested hair, can cause significant gastrointestinal complications.
  • Diagnosis can be challenging, especially in young children without a history of trichophagia.

Observation:

  • A 4-year-old female presented with clinical signs and symptoms consistent with peritonitis.
  • Abdominal exploration was performed due to suspected enteric perforation.
  • A large ileal trichobezoar measuring .5 cm in diameter was identified as the cause of perforation.

Findings:

  • The ileum showed a significant perforation secondary to a trichobezoar.
  • The stomach was found to be free of any bezoar fragments.

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  • The patient had no reported history of hair eating or nervous habits.

    • Implications:

    • This case underscores the importance of considering trichobezoars in the differential diagnosis of pediatric abdominal emergencies.
    • Prompt surgical intervention is crucial for managing intestinal perforation caused by bezoars.
    • Further research into the etiology and prevention of trichobezoars in children may be warranted.