Gastric Perforation Secondary to Trichobezoar: A Case Report
Abdelilah EL BAKOURI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Hamza EL KHOU *
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Abdessamad MAJD
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Abdelhak ETTAOUSSI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Khadija KAMAL
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Mounir BOUALI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Khalid EL HATTABI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Bezoars are collections of indigestible materials in the gastrointestinal tract they can be formed by hair (trichobezoars) cellulose (phytobezoars) milk (lactobezoars) and other materials.
Presentation of the Case: Our patient is a 17 year old female, with no history of mental illness, presenting to the emergency room with generalized abdominal pain with physical examination finding a tender abdomen, CT scan showed pneumoperitoneum, a trichobezoar in the stomach with gastric solution of continuity, the patient was operated on, a gastrotomy was performed with extraction of the trichobezoar, the perforation and gastrotomy were sutured, and a peritoneal lavage was done, the post operative course was uneventful, and the patient was discharged on the fifth day.
Discussion: Trichobezoar is the accumulation of hair in GI tract forming a mass, the natural course is growth which can lead to perforation, the standard surgical approach is laparotomy, although in literature the laparoscopic approach has been described.
Conclusion: Trichobezoar is a treatable affection, the complications of which can be lethal, it requires a multidisciplinary approach to avoid recurrence.
Keywords: Trichobezoar, acute abdomen, case report, gastric perforation
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