Gastric Trichobezoar that Manifested with Chronic Epigastric Pain: A Case Report and Literature Review
Amine Maazouz *
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Mahmoud Dabbagh
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Anass Zahraoui
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Yosra Asaatach
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Zakaria Moatassim
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Hamza Hamdani
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Oussama Bahadi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Fatimazahra Benmoulla
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Omar Belkouchi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Ihab Youssef
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Hadj Omar Malki
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Lahcen Ifrine
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Abdelkader Belkouchi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Gastric trichobezoar consist of the accumulation of chewed hair in the stomach. The hair can also extend to other structures of the digestive tract. It is a rare presentation which is usually associated with trichotillomania and trichpagia.
Trichobezoars are rare and present both a diagnostic and therapeutic challenge.
We report a case of a young adult female who presented with gastric pain. Surgery consisted of a small laparotomy and evacuation of the trichobezoar through a small gastrotomy. Treatment should be coupled to psychiatric evaluation and therapy to prevent recurrence.
Keywords: Trichobezoar, gastric, abdominal pain, laparotomy, gastrotomy and trichophagia
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References
Weston LaGrandeur, Melissa Zukowski. Visual Diagnosis in Emergency Medicine. The Journal of Emergency Medicine. 2021 ;61(6) :e167–e169.
© 2021 Elsevier Inc.
Kadian RS, Rose JF, Mann NS. Gastric bezoars—spontaneous resolution. Am J Gastroenterol. 1978;70:79–82.
Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA. Management of trichobezoar: Case report and literature review. Pediatr Surg Int. 2010;26:457–63.
Aishath Azna Ali, Rajan Gurung, Zeena Mohamed Fuad, Muaz Moosa, Isha Ali, Ahmad Abdulla, Assikin Muhamad, Firdaus Hayati, Nicholas Tze Ping Pang. Gastric trichobezoar in an end-stage renal failure and mental health disorder presented with chronic epigastric pain: A case report. Annals of Medicine and Surgery. 2020;58: 76–79.
Caiazzo P, Di Lascio P, Crocoli A, Del Prete I The Rapunzel syndrome. Report of a case. Chiryo. 2016;37(2):90–94.
Larik S, Ahmed H, Khalid M, Mehmood Z. Ileal trichobezoar in a boy with cerebral palsy. J. Surg. Pakistan. 2018;23:119–120.
Pinto ACVD, de Brito FF, Cavalcante MLLL, de Andrade, G.V. da Silva, A.C.C. Martelli,An. Bras. TCPC. Trichotillomania, A case report with clinical and dermatoscopic differential diagnosis with alopecia areata. Dermatol. 2017;92(1): 118–120.
Murad Habib, Muhammad Bin Amjad, Muhammad Abbas, Muhammad Amjad Chaudhary. Gastric Trichobezoars in paediatric population– A series of six cases and literature review. Annals of Medicine and Surgery. 2022;84:104906.
Sameh Tlili, Malak Boughdir, Aida Daib, Rim Kchaou, Youssef Hellal, Rabiaa ben Abdallah, Nejib Kaabar. Trichobezoar presenting as an abdominal mass. Journal of Pediatric Surgery Case Reports. 2021; 75:102076.
Gupta A, Gupta PL. Gastric trichobezoar and Rapunzel syndrome: A case report. Int. J. Surg. 2020;7(5):1634–1636.
Mohamed Ben Khalifa, Mossaab Ghannouchi, Karim Nacef, Asma Chaouch, Mohamed Sellami, Moez Boudokhane. Trichobezoar: A case report of a double gastric and ilial localization revealed by an occlusion. International Journal of Surgery Case Reports. 2022;91:106782.
Ezziti M. Trichobézoard gastrique: A propos d’un cas. Pan Afr. Med. J. 2017; 26(74):74.
Lyons R, Ismaili G, Devine M, Malik H. Rapunzel syndrome causing partial gastric outlet obstruction requiring emergency laparotomy. BMJ Case Rep. 2020;13(1).
Al-Osail EM, Zakary NY, Abdelhadi Y. Best management modality of trichobezoar: A case report. Int. J. Surg. Case Rep. 2018; 53:458–460.
Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK. Rapunzel syndrome reviewed and redefined, Dig. Surg. 2007;24(3):157–161.
Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA.Management of trichobezoar: Case report and literature review. Pediatr. Surg. Int. 2010;26(5): 457–463.
Chahinea E, Baghdadya R, El Karya N, Dirania M, Hayeka M, Saikalyb E, Chouillarda E. Surgical treatment of gastric outlet obstruction from a largetrichobezoar: A case report. International Journal of Surgery Case Reports. 2019;57:183–185.