Gastric perforation by a trichobezoar — Case report

Gastric perforation by a trichobezoar — Case report

Mafalda Sousa-Cardoso 1, Ana Catarina-Rosa 1, Tiago Ferro 2, Joana Pereira 3, Rui Alves 3, Isabel Brito-Lança 1

1 Pediatric Service, Hospital José Joaquim Fernandes, Beja, Portugal; 2 Pediatric Service, Hospital José Joaquim Fernandes, Beja; Higher Institute of Health Sciences Egas Moniz, Lisbon. Portugal; 3 Pediatric Surgery Service of Hospital Dona Estefânia, Lisbon, Portugal

Mafalda Sousa-Cardoso, Ana Catarina-Rosa, Tiago Ferro, Joana Pereira, Rui Alves, Isabel Brito-Lança

La información completa de afiliaciones y autor de correspondencia está disponible en la versión original en PDF.

*Correspondence: Ana Catarina-Rosa, Email not available

Abstract

Introduction: Bezoars are masses resulting from the ingestion and accumulation of undigested material in the gastrointestinal tract. They can be divided into trichobezoars (hair), phytobezoars (plant fibers), pharmacobezoars (drugs), and lactobezoars (cow’s milk). The most common symptoms are abdominal pain, nausea, vomiting, anorexia, and weight loss. Case report: We report the clinical case of a 13-year-old boy with a trichobezoar that had developed over the course of several years, which resulted in gastric perforation. A surgical laparotomy was performed to remove the trichobezoar and close the gastric wall. Discussion: Trichobezoars can present in the form of an acute abdomen. In these situations, surgical treatment is necessary.

Keywords:  Trichobezoar. Trichotillomania. Gastric perforation. Acute abdomen. Case report.

Contents