[Recurrent distal ileal obstruction by a trichobezoar in a 5-year-old child]

E Ceaux1, A Binet1, C Francois-Fiquet1

  • 1Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France.

Insights

Diagnosing trichobezoars in children is challenging due to rarity and diagnostic difficulties. This case highlights delayed diagnosis of a pediatric intestinal obstruction caused by a trichobezoar, emphasizing surgical intervention and psychological support.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Reports
  • Diagnostic Challenges

Background:

  • Trichobezoars are rare in children, often presenting diagnostic challenges.
  • Limited understanding of pediatric behavioral disorders impacts prevention and diagnosis.
  • Clinical diagnosis of trichobezoars can be difficult, leading to delayed treatment.

Observation:

  • A 5-year-old child presented with intestinal occlusion.
  • Diagnosis was delayed, with the trichobezoar discovered during surgery.
  • The trichobezoar was located 15cm from the ileocecal valve.

Findings:

  • Surgical exploration confirmed the trichobezoar as the cause of obstruction.
  • Management strategies vary, with CT and fibroscopy debated for diagnosis.
  • Emergency surgery is crucial for bowel obstruction to prevent complications.

Implications:

  • Prompt surgical intervention is vital for pediatric intestinal obstruction due to trichobezoars.
  • Post-operative psychological therapy is recommended to prevent recurrence.
  • Further research into early diagnosis and prevention of pediatric trichobezoars is warranted.

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