Huaco Aranguri Alejandra A, Orduña Carpio Rosa A, Ortiz Castro Carlos, Delgado Gonzales Marco, Haito Chávez Yamile
Interna de Medicina, Universidad Católica de Santa María, Arequipa.
Interna de Medicina, Universidad San Agustín de Arequipa, Arequipa.
Rev Gastroenterol Peru. 2022 Jul-Sep;42(3):193-198.
A gastric bezoar is a foreign body tumor that results from the accumulation of indigestible material in the stomach. The trichobezoar is one of them and frequently occurs in the young female population suffering from psychiatric disorders. The presentation of the gastric bezoar is insidious and nonspecific, having an initially asymptomatic course for years, until it reaches a size that shows symptoms. The diagnostic method of choice is endoscopy since it allows the bezoar to be visualized and propose the treatment. The therapeutic approach will be determined by its type, size, and consistency; however, surgical resolution is the one of choice, which must always be associated with psychiatric treatment to prevent recurrence of the condition. The case of a 19-year-old patient with a diagnosis of gastric trichobezoar, associated with trichotillomania and trichophagia as underlying pathologies is presented, and a literature review is carried out.