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Giant gastroduodenal trichobezoar: A case report
Zhi-Hui Dong1, Feng Yin2, Shi-Lin Du3
1Department of Radiology, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang 471009, Henan Province, China. dongzhih@163.com.
World Journal of Clinical Cases
|November 22, 2019
Summary
Giant gastroduodenal trichobezoars, rare hairball masses, can be successfully removed surgically. Laparotomy is a practical approach for these complex upper gastrointestinal bezoars.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Psychiatry
Background:
- Reports an extremely rare case of a giant gastroduodenal trichobezoar.
- Highlights the association between trichobezoars and trichotillomania/trichophagia.
Observation:
- A 10-year-old girl presented with an abdominal mass.
- Computed tomography (CT) revealed a heterogeneous mass extending from the stomach to the duodenum.
Findings:
- Surgical exploration via laparotomy was performed to remove the trichobezoar.
- Imaging findings, while nonspecific, should prompt consideration of trichobezoar in gastric mass differentials.
Implications:
- Laparotomy is an effective and practical surgical management for giant gastroduodenal trichobezoars.
- Emphasizes the importance of considering trichobezoar in pediatric patients with gastric masses and a history of hair-pulling and swallowing.
