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Ileal Trichobezoar Presenting with Acute Appendicitis and Intestinal Obstruction: A Rare Case Report and Review of

Dipanjan Goswami1, Priyanka Bamoria1, Deepak Goyal1

  • 1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India.

Journal of Indian Association of Pediatric Surgeons
|June 24, 2024
PubMed

Insights

Pediatric trichobezoars are rare and indicate psychiatric conditions. This case highlights the diagnostic challenges of isolated small bowel trichobezoars, which can mimic bowel obstruction.

Area of Science:

  • Pediatric Gastroenterology
  • Psychiatry

Background:

  • Trichobezoars are rare in children and often associated with underlying psychiatric disorders.
  • Gastric bezoars can extend into the small bowel, leading to varied presentations like small bowel obstruction.

Observation:

  • The index case involved an isolated small bowel trichobezoar.
  • This presentation is uncommon, posing diagnostic difficulties.

Findings:

  • Isolated small bowel trichobezoars are rare and challenging to diagnose.
  • The case underscores the importance of considering bezoars in pediatric patients with gastrointestinal symptoms and potential psychiatric comorbidities.

Implications:

  • Early recognition of trichobezoars is crucial for timely intervention.
  • This highlights the need for a multidisciplinary approach involving gastroenterologists and psychiatrists in managing pediatric trichobezoar cases.

Keywords:
Bowel obstructiontrichobezoartrichotillomania

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