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Small bowel volvulus with a jejunal trichobezoar
Ky Young Cho1, Dong Ho Shim, Kyung Tak Yoo
1Departments of Pediatrics and *Surgery, KEPCO Medical Center, Seoul, Republic of Korea. Correspondence to: Dr Ky Young Cho, Department of Pediatrics, KEPCO Medical Center, 308, Uicheon-ro, Dobong-gu, Seoul, Republic of Korea. choky96@hanmail.net.
Insights
A rare case of pediatric small bowel volvulus caused by a jejunal trichobezoar highlights the importance of considering trichobezoars in the differential diagnosis of abdominal pain and vomiting in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Small bowel volvulus is a rare and life-threatening condition in children.
- Jejunal trichobezoars are an extremely uncommon cause of this emergency.
Background:
Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children.
Case Characteristics:
An 8-year-old girl with abdominal pain and persistent bilious vomiting.
Observation:
The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar.
Outcome:
Satisfactory recovery after surgery.
Message:
Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.
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