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Simultaneous gastric and small intestinal trichobezoars.
Ajay Malhotra1, Luann Jones, George Drugas
1Department of Imaging Sciences, Division of Pediatric Surgery, University of Rochester Medical Center, Rochester, NY 14642-8648, USA. ajay_malhotra@urmc.rochester.edu
Pediatric Emergency Care
|November 20, 2008
Summary
This case report details a rare instance of synchronous gastric and ileal trichobezoars causing small-bowel obstruction in a child. It emphasizes the need for thorough gastrointestinal evaluation during surgical intervention for bezoars.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Radiology
Background:
- Bezoars are indigestible masses in the gastrointestinal tract; trichobezoars specifically are hair accumulations.
- While gastric and intestinal trichobezoars are known, simultaneous discrete masses in both locations are exceptionally rare.
Observation:
- A 9-year-old girl presented with symptoms of small-bowel obstruction.
- Imaging revealed synchronous trichobezoars located in the stomach and the ileum.
Findings:
- Surgical evacuation successfully removed the bezoars.
- The patient's condition was directly attributed to the presence of these dual trichobezoars.
Implications:
- This case underscores the importance of comprehensive imaging and evaluation of the entire gastrointestinal tract when diagnosing bezoars.
- Complete surgical assessment is crucial for preventing recurrence or missed diagnoses of synchronous bezoar formations.
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