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[Trichobezoars]

M Barzilai1, N Peled, M Soudack

  • 1Carmel Medical Center, Haifa.

Harefuah
|January 14, 1999
PubMed
Summary
This summary is machine-generated.

Trichobezoars, hair accumulations in the stomach, often affect adolescent females. Surgical removal is the primary treatment for these bezoars, which can mimic malignancy.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Trichobezoars are gastric hair accumulations linked to trichophagia (hair eating).
  • Rapunzel syndrome involves bezoars extending throughout the gastrointestinal tract.

Observation:

  • Typical patients are adolescent females with alopecia and abdominal masses.
  • Symptoms include abdominal pain, vomiting, weight loss, and signs mimicking malignancy.

Findings:

  • Diagnosis is confirmed via barium swallow or CT scan.
  • Complications include obstruction, perforation, and pancreatitis.
  • Surgical intervention is the standard treatment; endoscopic removal is rarely successful.

Implications:

  • Early diagnosis and surgical management are crucial for pediatric trichobezoar cases.
  • Understanding trichobezoar presentation aids in differentiating from other abdominal pathologies.
  • This condition highlights the importance of psychiatric and nutritional assessments in affected children.