Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report. (2019)

• Record Type: Journal Article
• Authors: Al-Mouakeh, Ahmad; Shashaa, Mohammad Nour; Brimo Alsaman, Muhamad Zakaria; Zazo, Aya; Alkarrash, Mohamad shadi; Zazo, Rama; Niazi, Ammar
• Is Part Of: International journal of surgery case reports. Volume 61(2019)
• Page Start: 48
• Page End: 50
• Publication Date: 2019
• Subjects: Trichobezoar -- Bowel obstruction -- Hair -- Bristle brush -- Mass -- Psychiatric disorders; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2019.05.045
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Ingestion of hair and bristle brush led to unique type of trichobezoars. Trichobezoars led to gastric outlet obstruction. The diagnosis is made by abdominal X-ray, computed tomography scan and endoscopic examination. Surgical intervention is performed for the majority of patients. Abstract: Introduction: Trichobezoar is a rare cause of bowel obstruction. In general, Trichobezoars are composed of hair and usually found incidentally in patients undergoing upper gastrointestinal endoscopy or imaging. Patients diagnosed with Trichobezoar may have psychiatric disorders. Discussion: Trichobezoars cause nonspecific symptoms like asymptomatic abdominal mass, vomiting, nausea, and anorexia. Diagnosis of Trichobezoar is made by endoscopic examination and radiological methods. Therapeutic options for trichobeazoar are chemical dissolution, endoscopic removal or surgery. Case presentation: Here we present a case of an 18-year-old girl who has a unique type of Trichobezoars caused by ingestion of hair and bristle clothes brush for 14 years. She presented to the surgical clinic complaining of vomiting, anorexia and epigastric mass. Abdominal computed tomography scanner showed nonattached intragastric mass which was consistent with trichobezoar. The patient was managed by surgical removal of the intragastric mass. Conclusion: Trichobezoar is caused by chronic ingestion of hair; it is commonly seen in young females who may have psychological disorders, such as trichophagia and trichotillomania. Common symptoms are abdominal pain, nausea, vomiting, and weight loss. Surgical intervention is performed for the majority of the patients.