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Trichobezoar: an uncommon pediatric problem
Insights
Trichobezoars, or hairballs, are rare in children and often missed. Diagnosis requires physician suspicion, recognizing symptoms like abdominal masses and food intolerance, leading to surgical removal and psychiatric support.
Area of Science:
- Pediatric Gastroenterology
- Surgical Case Reports
Background:
- Trichobezoars, commonly known as hairballs, are rare in pediatric patients.
- They are typically associated with emotional disturbances, particularly in adult females.
Observation:
- Diagnosis often relies on physician suspicion due to patients not disclosing hair-swallowing behavior.
- Clinical signs include a palpable upper abdominal mass, progressive food intolerance, weight loss, and weakness.
Findings:
- Roentgenographic imaging after a barium meal can confirm the presence of a mass.
- Surgical intervention involving laparotomy and gastrotomy is the standard treatment for removal.
Implications:
- Early recognition and diagnosis are crucial for effective management in children.
- Multidisciplinary care, including psychiatric support, is essential for addressing underlying behavioral issues.
Abstract:
Trichobezoar, the "hair-ball" occasionally found in the stomach of emotionally disturbed adults, particularly women, is an uncommon finding in the pediatric age group. The diagnosis often rests on the suspicion of the alert physician since most patients will not volunteer information about swallowing hair. The presence of a palpable upper abdominal mass associated with progressive intolerance to food, with weight loss and with weakness, and the roentgenographic appearance of a mass after a barium meal confirms suspicion. Treatment consists of laparotomy and gastrotomy to permit removal of the foreign material. Psychiatric assistance should be sought.