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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Peptic Ulcer Disease IV: Management01:26

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
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Gastric Trichobezoar Causing Gastrointestinal Bleeding: A Case Report.

Fathia Harrabi1, Houssem Ammar1, Mahdi Ben Latifa1

  • 1Gastrointestinal Surgery, Sahloul Hospital, University of Sousse, Sousse, TUN.

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|November 21, 2022
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Summary

Trichobezoars, hair masses in the stomach, are underdiagnosed in adolescents with trichotillomania (hair pulling) and trichophagia (hair eating). Early detection and psychiatric counseling are crucial to prevent severe gastrointestinal complications.

Keywords:
hematemesismelenatrichobezoarstrichophagiatrichotillomania

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Area of Science:

  • Pediatric Gastroenterology
  • Psychiatry

Background:

  • Trichobezoars are rare gastric foreign bodies, often linked to trichotillomania and trichophagia, particularly in young females.
  • Delayed diagnosis of trichobezoars can lead to severe gastrointestinal complications, including bleeding and perforation.

Observation:

  • A 17-year-old female presented with abdominal pain and gastrointestinal bleeding.
  • Physical examination revealed a palpable epigastric mass.
  • Upper gastrointestinal endoscopy confirmed a large trichobezoar.

Findings:

  • Surgical removal of the trichobezoar was successful.
  • The case highlights the potential for life-threatening outcomes with misdiagnosed gastric bezoars.

Implications:

  • Emphasizes the need for increased clinical suspicion and effective screening for trichotillomania in pediatric patients presenting with relevant symptoms.
  • Highlights the importance of psychiatric intervention to prevent recurrence and manage underlying behavioral disorders.