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[Peritonitis caused by a giant trichobezoar ventriculi--a case report]
Marian Szpakowski1, Andrzej Chilarski, Anna Nowińska-Serwach
1Instytut Centrum Zdrowia Matki Polki, Klinika Chirurgii Ginekologicznej, Łódź. chir_gin_iczmp@poczta.onet.pl
Ginekologia Polska
|July 3, 2008
Summary
Bezoars, common gastrointestinal foreign bodies, can cause varied symptoms. This case highlights a giant trichobezoar mimicking ovarian issues in an 18-year-old female, emphasizing the need for thorough diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Bezoars are indigestible masses in the gastrointestinal tract, commonly composed of hair, fibers, or food particles.
- Clinical presentation of bezoars is variable, ranging from asymptomatic cases to acute abdominal emergencies.
Observation:
- An 18-year-old female presented with symptoms suggestive of ovarian cyst torsion.
- Preoperative investigations did not confirm the initial diagnosis.
Findings:
- A giant trichobezoar, a bezoar made of hair, was discovered and surgically removed from the stomach during exploratory surgery.
- The trichobezoar was the cause of the patient's presenting symptoms, not an ovarian abnormality.
Implications:
- This case underscores the importance of considering unusual diagnoses like bezoars in patients with non-specific abdominal symptoms.
- Accurate preoperative diagnosis of gastrointestinal bezoars can be challenging, necessitating surgical exploration in some instances.
- Giant trichobezoars require surgical intervention for removal and resolution of symptoms.
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