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[Mixed bezoar].

R González López, J A Cañedo de la Torre

    Revista De Gastroenterologia De Mexico
    |May 1, 1977
    PubMed
    Summary

    This case study presents an adolescent with trichobezoar and cotton string bezoar formation due to psychological trauma. Surgical intervention and psychotherapy led to recovery, highlighting the need for integrated treatment approaches.

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    Area of Science:

    • Gastroenterology
    • Psychiatry
    • Pediatric Surgery

    Background:

    • Psychological trauma in adolescents can manifest in unusual behaviors.
    • Pica, the ingestion of non-food items, can lead to serious gastrointestinal complications.

    Observation:

    • An adolescent psychopath ingested hair and cotton string for 6-8 months following traumatic psychological experiences.
    • This resulted in a mixed bezoar (hair and cotton string) causing a decline in her general health.

    Findings:

    • Roentgenographic imaging facilitated the diagnosis of the mixed bezoar.
    • Surgical removal of the bezoar was curative.
    • Psychotherapy was initiated as part of the management plan.

    Implications:

    • This case underscores the importance of considering psychological factors in gastrointestinal disorders.
    • Integrated treatment involving surgery and psychotherapy is crucial for managing bezoar formation in vulnerable populations.
    • Further research into prophylactic measures for pica-related bezoars is recommended.