Images in Clinical Medicine
Trichobezoar in a Four-Year-Old Girl
N Engl J Med 2003; 348:1242March 27, 2003
- Article
A four-year-old girl was brought to her pediatrician by her parents because of intermittent bilious emesis, which had started two weeks earlier. There were no other changes in her bowel or bladder habits, and she had not lost weight. Her parents reported that she occasionally pulled at and ate her hair, but they did not believe that this behavior was compulsive or obsessive (trichotillomania). Physical examination revealed a firm mass in the upper abdomen, but the rest of the examination was unremarkable. An upper gastrointestinal series revealed a large trichobezoar in the child's stomach and proximal small bowel (Panel A). At laparotomy, the stomach was tense and filled with a firm mass (Panel B). A gastrotomy was performed, and a large cast-like trichobezoar was removed intact. It had almost completely occluded the stomach, duodenum, and proximal jejunum (Panel C). The child had an essentially uneventful postoperative course and has recovered fully.
John L. Lanoue, M.D.
Marc S. Arkovitz, M.D.
Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039- Citing Articles (4)
Citing Articles
1
Martin E Franklin, Kathryn Zagrabbe, Kristin L Benavides. (2011) Trichotillomania and its treatment: a review and recommendations. Expert Review of Neurotherapeutics 11:8, 1165-1174
CrossRef2
Sabina A. Więcek, Urszula E. Grzybowska-Chlebowczyk, Halina B. Woś, Robert M. Skrabski, Ewa F. Kluczewska, Janusz Bohosiewicz. (2008) Bezoar żołądka jako przyczyna guza jamy brzusznej u 16-letniej dziewczynki. Pediatria Polska 83:1, 89-92
CrossRef3
VN Sehgal, G Srivastava. (2006) Trichotillomania +- trichobezoar: revisited. Journal of the European Academy of Dermatology and Venereology 0:0, 060606032107003-???
CrossRef4
Doron Zamir, Carl Goldblum, Lina Linova, Ilia Polychuck, Tatiana Reitblat, Boris Yoffe. (2004) Phytobezoars and Trichobezoars. Journal of Clinical Gastroenterology 38:10, 873-876
CrossRef
