TRICHOBEZOAR: UNCOMMON PRESENTATION OF GASTRIC OUTLET OBSTRUCTION, A CASE REPORT | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 28, Issue 2, April 2009, Page 84-87 PDF (177.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2009.367610 | ||||
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| Authors | ||||
| Abdalla Megally* ; Al-Sormi M | ||||
| Department of General Surgery, Faculty of Medicine and health Sciences, Sana'a University, Yemen | ||||
| Abstract | ||||
| Aim: To report uncommon two cases with trichobezoar obstructing the gastric outlet within six months interval at our hospital. Methods: Two girls, 9 and 6-years old, presented with epigastric pain, nausea and non bilious vomiting about 6 and 4days before admission. There was a history of early satiety. By examining the abdomen a hard upper abdominal mass was palpated in each. Both mothers noticed irregularity in lengths of their daughter's hair but they don’t know if they swallow their own hair during the previous 2-years. Ultrasound, gastroscopy, barium meal x-ray and CT scan proved the presence of a large foreign body in the stomach of each girl. Surgical laparotomy revealed large hairballs obstructing pyloric canal and extends through the duodenum into the proximal part of jejunum. Results: Through gastrostomy the hairballs extracted and the stomach closed in 2-layer sutures. Postoperative course was uneventful and no recurrence noted during the next 16 and 10 months of follow-up. Conclusion: This report demonstrates 2-uncommon (not rare) foreign bodies which impacted and obstructing the outlet of the stomach incidentally discovered within a short period interval without recurrence after surgery. We believe that the surgical trauma would be enough to cut the habit of hair biting and prevent recurrence of trichobezoars. | ||||
| Keywords | ||||
| Female habits of hair biting; Gut-obstruction; Rapunzel`s | ||||
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