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

Issam S. Al-Janabi, Muthanna A. Al-Sharbaty, Marwan M. Al-Sharbati, Laith A. Al-Sharifi, Allal Ouhtit

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6 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article number79
JournalJournal of Medical Case Reports
Volume8
Issue number1
DOIs
Publication statusPublished - Feb 28 2014

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Keywords

  • Bezoar
  • Endoscopy
  • Iraq
  • Laparoscopy
  • Mass
  • Rapunzel syndrome
  • Trichobezoar
  • Trichotillomania

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Al-Janabi, I. S., Al-Sharbaty, M. A., Al-Sharbati, M. M., Al-Sharifi, L. A., & Ouhtit, A. (2014). Unusual trichobezoar of the stomach and the intestine: A case report. Journal of Medical Case Reports, 8(1), [79]. https://doi.org/10.1186/1752-1947-8-79