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Simultaneous gastric and small intestinal trichobezoars--a hairy problem
Kevin Hoover1, Julie Piotrowski, Kristin St Pierre
1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Journal of Pediatric Surgery
|July 26, 2006
Summary
This case report details synchronous gastric and jejunal trichobezoars in a child, highlighting the diagnostic importance of imaging for these rare gastrointestinal hair masses.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Radiology
Background:
- Trichobezoars, or hair masses in the GI tract, are uncommon.
- While gastric, duodenal, and small intestinal trichobezoars are documented, synchronous discrete gastric and intestinal bezoars are rare.
Observation:
- A 9-year-old girl presented with abdominal pain, anorexia, and vomiting.
- Radiographic imaging revealed synchronous trichobezoars in both the stomach and jejunum.
Findings:
- The case highlights a rare presentation of multiple trichobezoars.
- Successful diagnosis was achieved through radiographic imaging.
Implications:
- This case underscores the necessity of thorough clinical evaluation, including small bowel assessment, during the removal of obstructing gastric bezoars.
- Radiographic imaging plays a crucial role in diagnosing complex trichobezoar presentations.
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