Forero AS, Atuesta ES, Prieto SC, Gustavo CL

Language: Spanish
References: 10
Page: 97-102
PDF size: 245.71 Kb.

ABSTRACT

Introduction: Trichobezoar is a mass of indigestible hair trapped mainly in the stomach, which can produce symptoms and presents a nonspecific physical examination. It is related to trichotillomania and trichophagia. The diagnosis is made through endoscopy or imaging, with contrast-enhanced abdominal tomography being the method of choice. Although there are different therapeutic options, trichobezoars are usually resistant to medical and endoscopic management, so surgical resection is the management of choice.
Case presentation: The case of a 15-year-old female adolescent patient is presented, with a history of trichophagia between the ages of 4 and 8, with a clinical picture of epigastric mass and abdominal pain. Previously, she presented epigastric abdominal pain and changes in bowel movements intermittently, with a sensation of a mobile mass on physical examination, and an incidental finding of a gastric mass suggestive of trichobezoar. Complete removal of the mass was performed by supraumbilical median laparotomy and open gastrostomy without complications. The pathology report reported a hair-covered fragment that maintains the shape of the stomach of non-processable material.
Conclusion: Trichobezoar can cause various symptoms and potentially fatal complications and although it is a rare condition, it should be considered in patients with abdominal pain and a history of trichotillomania and trichophagia. They are often resistant to medical and endoscopic treatment, so surgery is the management of choice in most cases, accompanied by long-term psychiatric treatment to prevent recurrence.

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