Management of a trichobezoar caused by consumption of artificial hair extensions. Issue 1 (26th January 2020)

• Record Type: Journal Article
• Authors: Smith, Ria Emma; Rait, Jaideep Singh; Said, Amira; Dighe, Shwetal
• Is Part Of: BMJ case reports. Volume 13:Issue 1(2020)
• Publication Date: 2020-01-26
• Subjects: endoscopy -- stomach and duodenum -- gastrointestinal surgery -- impulse control disorders; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-232720
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Trichobezoars are rare, but most commonly found in young women with trichophagia and trichotillomania. Complications can include iron deficiency anaemia and gastric erosion or, rarely, perforation. A 19-year-old woman presented with epigastric pain, vomiting and lethargy. Initial investigations revealed a palpable abdominal fullness on examination and iron deficiency anaemia. Oesophagogastroduodenoscopy found a large trichobezoar associated with gastric erosions, polyps and an ulcer. Subsequently, the patient reported previous consumption of artificial hair extensions, which ceased 5 years previously. Attempts to remove the trichobezoar by endoscopy were ineffective and in line with current literature, laparotomy was successful. This case describes a rare cause of trichobezoar and emphasises the importance of appropriate initial investigations and definitive management.