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367610

TRICHOBEZOAR: UNCOMMON PRESENTATION OF GASTRIC OUTLET OBSTRUCTION, A CASE REPORT

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Last updated: 29 Dec 2024

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Abstract

Aim: To report uncommon two cases with trichobezoar obstructing the gastric outlet within six months interval at our 
hospital. 
Methods: Two girls, 9 and 6-years old, presented with epigastric pain, nausea and non bilious vomiting about 6 and 
4days before admission. There was a history of early satiety. By examining the abdomen a hard upper abdominal mass 
was palpated in each. Both mothers noticed irregularity in lengths of their daughter's hair but they don't know if they 
swallow their own hair during the previous 2-years. Ultrasound, gastroscopy, barium meal x-ray and CT scan proved the 
presence of a large foreign body in the stomach of each girl. Surgical laparotomy revealed large hairballs obstructing 
pyloric canal and extends through the duodenum into the proximal part of jejunum. 
Results: Through gastrostomy the hairballs extracted and the stomach closed in 2-layer sutures. Postoperative course 
was uneventful and no recurrence noted during the next 16 and 10 months of follow-up. 
Conclusion: This report demonstrates 2-uncommon (not rare) foreign bodies which impacted and obstructing the outlet of the stomach incidentally discovered within a short period interval without recurrence after surgery. We believe that the surgical trauma would be enough to cut the habit of hair biting and prevent recurrence of trichobezoars. 

DOI

10.21608/ejsur.2009.367610

Keywords

Female habits of hair biting, Gut-obstruction, Rapunzel`s

Authors

First Name

Abdalla

Last Name

Megally

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Affiliation

Department of General Surgery, Faculty of Medicine and health Sciences, Sana'a University, Yemen

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First Name

Al-Sormi

Last Name

M

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine and health Sciences, Sana'a University, Yemen

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Volume

28

Article Issue

2

Related Issue

49228

Issue Date

2009-04-01

Receive Date

2024-07-17

Publish Date

2009-04-01

Page Start

84

Page End

87

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_367610.html

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https://ejsur.journals.ekb.eg/service?article_code=367610

Order

367,610

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

TRICHOBEZOAR: UNCOMMON PRESENTATION OF GASTRIC OUTLET OBSTRUCTION, A CASE REPORT

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Article

Created At

21 Dec 2024