Harrabi Fathia, Ammar Houssem, Ben Latifa Mahdi, Gupta Rahul, Ben Ali Ali
Gastrointestinal Surgery, Sahloul Hospital, University of Sousse, Sousse, TUN.
Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, IND.
Cureus. 2022 Oct 14;14(10):e30282. doi: 10.7759/cureus.30282. eCollection 2022 Oct.
Trichobezoar is an underdiagnosed entity that has to be considered in children and adolescents, especially females, suffering from trichotillomania and trichophagia. Late diagnosis of trichobezoars showed that they cause gastrointestinal bleeding or perforation. A 17-year-old girl patient was admitted with abdominal pain and gastrointestinal bleeding. On abdominal examination, a well-defined mass in the epigastrium and the left upper quadrant was identified. Upper gastrointestinal (GI) endoscopy identified an enormous trichobezoar, which was later removed by surgery. Misdiagnosed gastric bezoars may cause life-threatening complications. Early detection for trichobezoar requires effective screening of trichotillomania. Psychiatric counseling is important to prevent bezoar recurrence.
毛发石是一种易被漏诊的病症，在患有拔毛癖和食毛癖的儿童及青少年，尤其是女性中必须予以考虑。毛发石的延迟诊断表明它们会导致胃肠道出血或穿孔。一名17岁女性患者因腹痛和胃肠道出血入院。腹部检查时，在上腹部和左上腹发现了一个边界清晰的肿块。上消化道内镜检查发现一个巨大的毛发石，随后通过手术将其取出。误诊的胃石可能会导致危及生命的并发症。早期发现毛发石需要对拔毛癖进行有效的筛查。心理辅导对于预防胃石复发很重要。
