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Huge Gastric and Ileal Trichobezoars Causing Small Bowel Obstruction
Muhammad Imran1, Ume Sughra2, Aurangzeb Khan1
1Department of Surgery, Fauji Foundation Hospital, Rawalpindi.
Summary
This case report details a rare dual gastric and ileal trichobezoar in a young girl with trichophagia, presenting as small bowel obstruction. Surgical removal successfully treated both bezoars, highlighting this unusual presentation.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Bezoars are undigestible accumulations in the digestive tract, commonly hairballs (trichobezoars).
- While surgical aspects are known, psychiatric links and dual gastric/ileal presentations are rarely documented.
Observation:
- A young girl with trichophagia (hair eating) presented with symptoms of small bowel obstruction.
- Physical exam revealed abdominal distension and a palpable mass; imaging confirmed dilated small bowel loops.
- CT scan identified large gastric and distal ileal masses consistent with trichobezoars.
Findings:
- The patient had a rare dual presentation of gastric and ileal trichobezoars.
- Surgical intervention involved gastrotomy for stomach bezoar removal and entrotomy for ileal bezoar extraction.
Implications:
- This case underscores the importance of considering trichobezoars in patients with trichophagia and obstructive symptoms.
- Highlights the rarity and diagnostic challenges of dual gastric and ileal trichobezoar presentations.
- Emphasizes the necessity of thorough surgical exploration for complete bezoar removal.
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