Trichobezoar-Induced Small Bowel Obstruction in a Pediatric Patient: A Report of a Rare Case

Area of Science:

• Pediatric Surgery
• Gastroenterology

Background:

• Small bowel obstruction is a critical condition requiring prompt diagnosis and management.
• Trichobezoars, or hairballs, are rare gastric or intestinal foreign bodies, typically associated with females and psychiatric conditions.

Observation:

• A four-year-old boy presented with symptoms initially suggestive of acute gastroenteritis, progressing to signs of bowel obstruction including bilious vomiting and abdominal distention.
• Imaging revealed dilated bowel loops and a partially calcified mass in the proximal small bowel.

Findings:

• Exploratory laparotomy identified and successfully removed a large trichobezoar causing the obstruction.
• Histopathological examination confirmed the mass to be composed of ingested hair.

Implications:

• This case underscores the importance of considering rare etiologies, such as trichobezoar, in pediatric bowel obstruction, even in the absence of typical risk factors.
• Highlights the diagnostic challenges and successful surgical management of a rare pediatric gastrointestinal condition.