Large gastroduodenal trichobezoar in a 14 year old : a case report
Keywords:
Trichobezoar, Trichotillomania, gastroduodenal segmentAbstract
Trichobezoar or concrete masses of ingested hair in the gastrointestinal tract are commonly seen in adolescent girls with pre-existing behavioral disorders like trichotillomania and trichophagia. Generally, the patients present late due to slow progression of the disease. Our patient was a 14-year-old girl who presented with vague upper abdominal discomfort and symptoms with preceding history of trichotillomania. She had a palpable lump in her upper abdomen which was confirmed by CT scan to be an intraluminal bezoar. She underwent successful laparotomy and bezoar removal and has been undergoing productive post-operative behavioral therapy sessions. Trichobezoar patients rarely present early due to the social stigmata associated with the underlying disorders. Surgery and psychiatric therapy go hand in hand to achieve good outcomes in such cases.
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References
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