Trichobezoars are compact mass of hair occupying the gastric cavity that if left untreated can cause developmental delay, malnutrition, obstruction or perforation. The treatment options include extraction by conventional laparotomy, laparoscopy, gastrotomy or endoscopy. Since they are almost always associated with trichotillomania and trichophagia or other psychiatric disorders, psychiatric consultation is necessary to prevent relapses. We reviewed the medical charts of two patients with trichobezoar who were treated at Lord Mahavir, Civil Hospital, Ludhiana. Both the cases, aged 14 and 19 years were females and presented at the hospital with a history of epigastric discomfort, pain and vomiting. Both the girls were lean, underweight and pale skinned. First patient had trichotillomania and trichophagia for 1 year prior to presentation. The parents were unaware of patient’s trichophagia but the girl revealed that she ate hair during the night. The second patient had no history of trichophagia and the bilateral loss of scalp hair indicated nocturnal involuntary eating of hair during sleep. The large palpable mass in both the cases was non-tender, hard, smooth and mobile on examination. The abdominal imaging with CT revealed the mass occupying most of the gastric cavity, and turned out to be trichobezoars. The masses were successfully extracted by laparotomy and gastrotomy. A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. Gastrotomy was found to be very successful for the surgical removal of trichobezoars. The behavioral assessment and psychiatric counselling also plays a useful role in patient management and prevention of recurrence.
| Published in | International Journal of Gastroenterology (Volume 4, Issue 2) |
| DOI | 10.11648/j.ijg.20200402.14 |
| Page(s) | 45-49 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Trichobezoar, Trichotillomania, Gastrotomy, Case Report
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APA Style
Tulika Saggar, Varun Saggar. (2020). Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases. International Journal of Gastroenterology, 4(2), 45-49. https://doi.org/10.11648/j.ijg.20200402.14
ACS Style
Tulika Saggar; Varun Saggar. Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases. Int. J. Gastroenterol. 2020, 4(2), 45-49. doi: 10.11648/j.ijg.20200402.14
AMA Style
Tulika Saggar, Varun Saggar. Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases. Int J Gastroenterol. 2020;4(2):45-49. doi: 10.11648/j.ijg.20200402.14
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Download@article{10.11648/j.ijg.20200402.14,
author = {Tulika Saggar and Varun Saggar},
title = {Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases},
journal = {International Journal of Gastroenterology},
volume = {4},
number = {2},
pages = {45-49},
doi = {10.11648/j.ijg.20200402.14},
url = {https://doi.org/10.11648/j.ijg.20200402.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20200402.14},
abstract = {Trichobezoars are compact mass of hair occupying the gastric cavity that if left untreated can cause developmental delay, malnutrition, obstruction or perforation. The treatment options include extraction by conventional laparotomy, laparoscopy, gastrotomy or endoscopy. Since they are almost always associated with trichotillomania and trichophagia or other psychiatric disorders, psychiatric consultation is necessary to prevent relapses. We reviewed the medical charts of two patients with trichobezoar who were treated at Lord Mahavir, Civil Hospital, Ludhiana. Both the cases, aged 14 and 19 years were females and presented at the hospital with a history of epigastric discomfort, pain and vomiting. Both the girls were lean, underweight and pale skinned. First patient had trichotillomania and trichophagia for 1 year prior to presentation. The parents were unaware of patient’s trichophagia but the girl revealed that she ate hair during the night. The second patient had no history of trichophagia and the bilateral loss of scalp hair indicated nocturnal involuntary eating of hair during sleep. The large palpable mass in both the cases was non-tender, hard, smooth and mobile on examination. The abdominal imaging with CT revealed the mass occupying most of the gastric cavity, and turned out to be trichobezoars. The masses were successfully extracted by laparotomy and gastrotomy. A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. Gastrotomy was found to be very successful for the surgical removal of trichobezoars. The behavioral assessment and psychiatric counselling also plays a useful role in patient management and prevention of recurrence.},
year = {2020}
}
TY - JOUR T1 - Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases AU - Tulika Saggar AU - Varun Saggar Y1 - 2020/08/04 PY - 2020 N1 - https://doi.org/10.11648/j.ijg.20200402.14 DO - 10.11648/j.ijg.20200402.14 T2 - International Journal of Gastroenterology JF - International Journal of Gastroenterology JO - International Journal of Gastroenterology SP - 45 EP - 49 PB - Science Publishing Group SN - 2640-169X UR - https://doi.org/10.11648/j.ijg.20200402.14 AB - Trichobezoars are compact mass of hair occupying the gastric cavity that if left untreated can cause developmental delay, malnutrition, obstruction or perforation. The treatment options include extraction by conventional laparotomy, laparoscopy, gastrotomy or endoscopy. Since they are almost always associated with trichotillomania and trichophagia or other psychiatric disorders, psychiatric consultation is necessary to prevent relapses. We reviewed the medical charts of two patients with trichobezoar who were treated at Lord Mahavir, Civil Hospital, Ludhiana. Both the cases, aged 14 and 19 years were females and presented at the hospital with a history of epigastric discomfort, pain and vomiting. Both the girls were lean, underweight and pale skinned. First patient had trichotillomania and trichophagia for 1 year prior to presentation. The parents were unaware of patient’s trichophagia but the girl revealed that she ate hair during the night. The second patient had no history of trichophagia and the bilateral loss of scalp hair indicated nocturnal involuntary eating of hair during sleep. The large palpable mass in both the cases was non-tender, hard, smooth and mobile on examination. The abdominal imaging with CT revealed the mass occupying most of the gastric cavity, and turned out to be trichobezoars. The masses were successfully extracted by laparotomy and gastrotomy. A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. Gastrotomy was found to be very successful for the surgical removal of trichobezoars. The behavioral assessment and psychiatric counselling also plays a useful role in patient management and prevention of recurrence. VL - 4 IS - 2 ER -
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