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Published on: June 28, 2021
Rare case of trichobezoar causing pancreatitis in a young woman
Asma AlQaseer1, Rawan A Rahman AlHarmi2, Nooruddin AbuAli2
1General Surgery, Salmaniya Medical Complex, Manama, Bahrain asma.alqaseer@gmail.com.
Abstract:
This is a case of a 14-year-old woman diagnosed with acute pancreatitis based on history and laboratory investigations. CT scan confirmed the diagnosis of acute pancreatitis along with the presence of two bezoars in the stomach and proximal jejunum. Gastroscopy showed a large trichobezoar with difficult endoscopic extraction. Accordingly, the patient underwent laparotomy, gastrostomy and enterotomy with successful removal of the large gastric and jejunal daughter bezoars. Following surgery, pancreatitis resolved and investigations returned to normal. Child psychiatry consultation was sought, and she was diagnosed with trichotillomania and trichophagia.
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