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Trichobezoar with small bowel obstruction in children: two cases report
K Khattala1, S Boujraf, M Rami
1Department of Paediatric Surgery, University Hospital of Fez, Fez, Morocco.
African Journal of Paediatric Surgery : AJPS
|October 28, 2009
Summary
A trichobezoar, a hair mass in the GI tract, rarely causes intestinal obstruction. This report details two rare cases of trichobezoars obstructing the small intestine.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Trichobezoars are gastric concretions of ingested hair.
- While typically found in the stomach, they can occur throughout the gastrointestinal tract.
- Intestinal obstruction secondary to trichobezoars is exceptionally uncommon.
Purpose of the Study:
- To report two rare cases of trichobezoar-induced small bowel obstruction.
- To highlight the diagnostic and management considerations for this unusual presentation.
Main Methods:
- Case report review of two patients presenting with symptoms of intestinal obstruction.
- Review of medical records, imaging studies, and surgical findings.
Main Results:
- Case 1: A trichobezoar was found obstructing the terminal ileum.
- Case 2: A trichobezoar was identified obstructing the jejunum.
- Both cases required surgical intervention for removal.
Conclusions:
- Trichobezoars, though rare, can cause significant small bowel obstruction.
- Early diagnosis and surgical management are crucial for favorable outcomes.
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