Abstract

COUCEIRO, Ana et al. Trichobezoar: A Rare Cause of Abdominal Mass Outlet Obstruction. GE Port J Gastroenterol [online]. 2016, vol.23, n.1, pp.50-53. ISSN 2341-4545.  https://doi.org/10.1016/j.jpge.2015.08.003.

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 back- ground 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.

Keywords : Abdomen; Bezoars; Gastric Outlet Obstruction; Trichotillomania.

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