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Gastrointestinal trichobezoar: An experience with 17 cases

Muhammad Bilal Mirza1, Nabila Talat1, Muhammad Saleem1

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.

Journal of Pediatric Surgery
|May 30, 2020
PubMed

Insights

Pediatric gastrointestinal tract (GIT) trichobezoars are rare, often mimicking other conditions. Early diagnosis and management are crucial to prevent severe complications like obstruction and perforation.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Trichobezoars are rare in children, often presenting as chronic abdominal ailments.
  • Delayed diagnosis can lead to severe complications.

Purpose of the Study:

  • To describe the clinical experience with 17 pediatric gastrointestinal tract (GIT) trichobezoar cases.
  • To highlight diagnostic challenges and complications.

Main Methods:

  • Retrospective review of 17 consecutive pediatric GIT trichobezoar cases.
  • Data collected between January 2005 and December 2018.
  • Case series, Level IV evidence.

Main Results:

  • 17 patients (14 female, median age 7 years) presented with abdominal pain, vomiting, and distension.
  • Complications occurred in 41% of patients, including intussusception, obstruction, perforation, and pancreatitis.
  • Rapunzel syndrome was observed in 54% of cases, with gastric and small bowel trichobezoars also present.

Conclusions:

  • Pediatric GIT trichobezoars are rare and can mimic chronic conditions.
  • Trichobezoars can remain asymptomatic until complications arise.
  • Delayed presentation significantly increases the risk of life-threatening complications.
Abstract

Keywords:
Acute abdomenForeign body ingestionRapunzel syndromeTrichobezoarTrichophagiaTrichotillomania

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