Abstract
ABSTRACT:
Trichobezoar in two different localizations at the same time: a case report
Trichobezoar occurs when the hair cannot be digested and accumulated in the gastrointestinal tract after ingestion in patients with trichobezoar, trichotillomania, and trichophagia. It is frequently seen in girls aged 13-20 years and is accompanied by psychiatric disorders. A case with trichobezoar in two different localizations is presented at the same time.
A 16-year-old girl weighing 56 kg presented to another hospital with complaints of nausea, vomiting, and loss of appetite after almost every meal in the last 2 months. The patient was referred to our clinic upon the detection of gastric trichobezoar on computerized tomography (CT). Laparotomy was performed on the patient.. A giant mass filling the entire stomach and a separate mass almost completely blocking the intestinal lumen were detected in the proximal jejunum. Both masses were removed by gastrotomy and jejunotomy. The patient was discharged on the 6th postoperative day with recovery. Anxiety disorder was detected in the patient who was consulted with pediatric psychiatry in the postoperative period.
Our case had a psychiatric disorder similar to the cases in the literature. Our case was a successful science high school student contrary to the common situations in the literature. Cases with two different masses in two different localizations at the same time are very rare, as in our case. The patient's images should be carefully examined before the operation and exploration should be performed well during the operation.
References
- Referans 1. Khan S, Jiang K, Zhu LP, Khan IA, Ullah K, Khan S, Chen X, Wang BM. Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review. Gastroenterol Res Pract. 2019 Jul 15;2019:5698532.
- Referans 2. Bargas Ochoa M, Xacur Hernández M, Espadas Torres M, Quintana Gamboa A, Tappan Lavadores I, Méndez Domínguez N. Rapunzel syndrome with double simultaneous trichobezoar in a teenager: Clinical Case Report. Rev Chil Pediatr. 2018 Feb;89(1):98-102.
- Referans 3. De Bakey M, Ochsner A. Bezoars and concretions: comprehensive review of the literature with analysis of 303 collected cases and presentation of eight additional cases. Surgery 1938;4:934-63, 1939;5:132-60.
- Referans 4. Mehta MH, Patel RV. Intussusception and intestinal perforations caused by multiple trichobezoars. J Pediatr Surg 1992;27(9):1234-5.
- Referans 5. Aoi S, Kimura K, Tsuda T. Double and synchronous trichobezoars causing small-bowel obstruction and detected by multidetector computed tomography: report of two cases. Surg Today. 2015 May;45(5):634-7.
- Referans 6. Iwamuro M, Okada H, Matsueda K, Inaba T, Kusumoto C, Imagawa A, et al. Review of the diagnosis and management of gastrointestinal bezoars. World J Gastrointest Endosc. 2015;7:336–45.
Abstract
Aynı anda iki farklı lokalizasyonda trikobezoar: olgu sunumu
Trikobezoar, trikotilomani ve trikofaji hastalığı olanlarda saçların yutulması sonrasında gastrointestinal sistemde sindirilemeyip birikmesiyle ortaya çıkar. Sıklıkla 13-20 yaş arası kızlarda görülür ve psikiyatrik bozukluklar eşlik eder. Aynı anda iki farklı lokalizasyonda trikobezoar bulunan olgu sunulmakta.
16 yaşında 56 kg olan kız hasta son 2 aydır olan hemen hemen her yemekten sonra olan bulantı,kusma ve iştahsızlık şikayetleriyle başka bir hastaneye başvurmuş. Hastanın dış merkezde çekilen batın tomografisinde gastrik trikobezoar tespit edilmesi üzerine hasta kliniğimize yönlendirilmiş. Hastaya laparotomi uygulandı. Midenin tamamını dolduran dev bir kitle ve proksimal jejnumda barsak lümenini tama yakın tıkayan ayrı bir kitle tespit edildi. Her iki kitle de gastrotomi ve enterotomi ile çıkarıldı. Hasta ameliyat sonrası 6. Günde şifa ile taburcu edildi. Operasyon sonrası dönemde çocuk psikiyatri ile konsulte edilen hastada anksiyete bozukluğu tespit edildi.
Olgumuzda literatürdeki olgulara benzer şekilde anksiyete bozukluğu mevcuttu. Olgumuz literatürdeki yaygın durumların aksine başarılı bir fen lisesi öğrencisiydi. Olgumuzda olduğu gibi aynı anda iki farklı lokalizasyonda iki farklı kitlenin olduğu durumlar çok nadirdir. Operasyon öncesinde hastanın görüntülerinin dikkatlice incelenmesi ve operasyon sırasında sadece midenin değil bağırsakların da eksplore edilmesi gerekir.
Keywords
Thanks
ilginiz için teşekkürler.. iyi çalışmalar
References
- Referans 1. Khan S, Jiang K, Zhu LP, Khan IA, Ullah K, Khan S, Chen X, Wang BM. Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review. Gastroenterol Res Pract. 2019 Jul 15;2019:5698532.
- Referans 2. Bargas Ochoa M, Xacur Hernández M, Espadas Torres M, Quintana Gamboa A, Tappan Lavadores I, Méndez Domínguez N. Rapunzel syndrome with double simultaneous trichobezoar in a teenager: Clinical Case Report. Rev Chil Pediatr. 2018 Feb;89(1):98-102.
- Referans 3. De Bakey M, Ochsner A. Bezoars and concretions: comprehensive review of the literature with analysis of 303 collected cases and presentation of eight additional cases. Surgery 1938;4:934-63, 1939;5:132-60.
- Referans 4. Mehta MH, Patel RV. Intussusception and intestinal perforations caused by multiple trichobezoars. J Pediatr Surg 1992;27(9):1234-5.
- Referans 5. Aoi S, Kimura K, Tsuda T. Double and synchronous trichobezoars causing small-bowel obstruction and detected by multidetector computed tomography: report of two cases. Surg Today. 2015 May;45(5):634-7.
- Referans 6. Iwamuro M, Okada H, Matsueda K, Inaba T, Kusumoto C, Imagawa A, et al. Review of the diagnosis and management of gastrointestinal bezoars. World J Gastrointest Endosc. 2015;7:336–45.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | May 24, 2021 |
| Acceptance Date | March 1, 2021 |
| Published in Issue | Year 2021 Volume: 11 Issue: 3 |