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Unusual cause of gastric outlet obstruction: giant gastric trichobezoar: a case report
Ibrahim Yetim1, Orhan Veli Ozkan, Ersan Semerci
1Mustafa Kemal University, Faculty of Medicine, Department of General Surgery, Antakya/Hatay, Turkey. veliorhan@hotmail.com.
Background:
Trichobezoars are caused by hair ingestion. The usual presentation of a trichobezoar is with early satiety and malnutrition. Obstructive symptoms and manifestations of gastric outlet obstruction may occur. The diagnosis may be suspected in young females with malnutrition, who have a history of trichophagia.
Case Presentation:
We report a case of 12-year-old female admitted to the emergency room for abdominal pain. On physical examination, she was cachectic and an epigastric mass was palpated. An exploratory laparotomy was conducted. A giant trichobezoar was palpated in the stomach and was removed through an anterior gastrostomy.
Conclusion:
There were no complications postoperatively and the patient was referred to a psychiatrist.
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