Gastric outlet obstruction caused by a giant gastric trichobezoar: a case report

Trichobezoars are caused by hair ingestion. The usual presentation of a trichobezoar is with early satiety and malnutrition.

Obstructive symptoms and manifestations of gastric outlet obstruction may occur. The diagnosis may be suspected in young females with malnutrition, who have a history of trichophagia.Case presentationWe report the case of a 12 year-old female admitted to the emergency room for abdominal pain.

On physical examination, she was cachectic and an epigastric mass was palpated. An exploratory laparotomy was conducted.

A giant richobezoar was palpated in the stomach and was removed through an anterior gastrostomy.

Conclusion: There were no complications postoperatively and the patient was referred to a psychiatrist.

Author: Ibrahim Yetim, Orhan VELI Ozkan, Ersan Semerci and Recep Abanoz
Credits/Source: Cases Journal 2008, 1:399

Published on: 2008-12-16

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