Unusual trichobezoar of the stomach and the intestine: a case report

Journal of Medical Case Reports

Allal Ouhtit³  Laith A Al-Sharifi¹  Marwan M Al-Sharbati²  Muthanna A Al-Sharbaty⁴  Issam S Al-Janabi⁵ 

[1] Karbala Health Directorate, Karbala, Iraq;Department of Behavioral Medicine, Sultan Qaboos University, Muscat, Oman;Department of Genetics, College of Medicine, Sultan Qaboos University, Muscat, Oman;Al-Jumhori Teaching Hospital, General Surgery, 2nd Surgical Unit, Mosul, Iraq;Department of Surgery, Baghdad Teaching Hospital, Baghdad, Iraq

关键词: Trichotillomania;    Trichobezoar;    Rapunzel syndrome;    Mass;    Laparoscopy;    Iraq;    Endoscopy;    Bezoar;   

Others  :  822621
DOI  :  10.1186/1752-1947-8-79

 received in 2013-05-27, accepted in 2013-11-26,  发布年份 2014

【 摘 要 】

Introduction

Trichobezoars are an infrequent form of bezoar found in the stomach or intestine, created from ingested hair. This condition has been well described in the surgical literature, but less reported in psychiatry.

Case presentation

We describe the case of an 18-year-old Middle Eastern Caucasian woman with trichotillomania who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparotomy.

Conclusion

The medical and psychiatric sequelae of trichotillomania should not be underestimated, and early diagnosis and treatment is of utmost importance to save the patient’s life and prevent recurrence. Although laparotomy is still considered an excellent option, pharmacotherapy and behavioral assessment play a useful role in patient management. Our case highlights the fundamental concept of a holistic approach rather than only treating the symptoms, by considering factors such as genetic influences to understand the disease.

【 授权许可】

   
2014 Al-Janabi et al.; licensee BioMed Central Ltd.

【 图 表 】

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