López-Tamanaja NL, Reyes-Berlanga M, Miranda-Salgado MG, Reyes-Gómez U, Quero-Hernández A, Reyes-Hernández KL, López-Dias AV, Hernández-Lira S, López-Cruz G, Matos-Alviso LJ

Language: Spanish
References: 15
Page: 127-134
PDF size: 217.17 Kb.

ABSTRACT

In the general population, the estimated annual prevalence for trichotillomania in adults and adolescents is between 1 and 2%. Women are affected more often than men, in a proportion of approximately; 10: 1 Bezoars are collections of ingested material that accumulate over time in the stomach or small intestine, may even reach the colon. We report a case of stomach trichobezoar in a teenager. The clinical case present an adolescent of 14 years of age, comes from a dysfunctional family, psychomotor retardation in corrected childhood, admitted to the emergency department with the presence of epigastralgia and diffuse abdominal pain of 1 year of evolution, attended with nausea, vomiting , hiporexia and weight loss of 10 kilograms in 1 month. The physical examination documented an abdominal mass of woody consistency and well defined. In her anamnesis the patient admits trichotillomania and trichophagia of 1 year of evolution, the complementary examinations (simple abdominal radiography, ultrasound and computed axial tomography concluded that she was taking a trichobezoar, which was confirmed and resolved in the surgical exploration. In her follow-up she was referred to the educational psychology service and the nutrition area.
An anamnesis focused on trichotillomania and trichophagia guide the diagnosis of a trichobezoar, in the presence of epigastric abdominal mass, and obsessive-compulsive disorders documented in the anamnesis.

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