Trichobezoar - A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction

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• 作者：Ana Couceiro^a ; ^{anascouceiro@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Carolina Viveiro^b ; Gustavo Capelã ; o^a ; Joã ; o Nobre^a ; Mó ; nica Laureano^a ; Inê ; s Gonç ; alves^a ; Paulo Clara^a ; Sandra Amado^a ; Teresa Rezende^b ; Ana Iná ; cio^a ; Miguel Coelho Santos^a
• 关键词：Abdomen ; Bezoars ; Gastric Outlet Obstruction ; Trichotillomania
• 刊名：GE Portuguese Journal of Gastroenterology
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：23
• 期：1
• 页码：50-53
• 全文大小：1350 K

文摘

The authors present the clinical case of a 14-year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. There was a background of trichophagia for 2 years without evidence of alopecia or psychiatric history. The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter. Abdominal ultrasonography showed thickening of the gastric wall and antrum with gastric distension. The abdominal tomography scan and endoscopic examination revealed the presence of a bulky trichobezoar occupying almost the entire gastric lumen. It was decided to undergo gastrotomy and extraction of the bezoar. The postoperative period was uneventful.