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Trichobezoar: an uncommon pediatric problem.

R Reisfeld, W Dammert, J S Simpson

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |May 1, 1978
    PubMed
    Summary
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    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.

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  • Multidisciplinary care, including psychiatric support, is essential for addressing underlying behavioral issues.