Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction

Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction

The authors present the clinical case of a 14-year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. There was a background of trichophagia for 2 years without evidence of alopecia or psychiatric history. The physical examination reveale...

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Main Authors: Ana Couceiro, Carolina Viveiro, Gustavo Capelão, João Nobre, Mónica Laureano, Inês Gonçalves, Paulo Clara, Sandra Amado, Teresa Rezende, Ana Inácio, Miguel Coelho Santos
Format: Article
Language:English
Published: Karger Publishers 2016-01-01
Series:GE: Portuguese Journal of Gastroenterology
Subjects:
Abdomen
Bezoars
Gastric Outlet Obstruction
Trichotillomania
Online Access:http://www.sciencedirect.com/science/article/pii/S2341454515001118
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spelling doaj-1d0a8eccb6df46d6a0b07cb794943c632020-11-25T03:41:53ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452016-01-01231505310.1016/j.jpge.2015.08.003Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet ObstructionAna Couceiro0Carolina Viveiro1Gustavo Capelão2João Nobre3Mónica Laureano4Inês Gonçalves5Paulo Clara6Sandra Amado7Teresa Rezende8Ana Inácio9Miguel Coelho Santos10Surgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalPediatrics Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalPediatrics Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalSurgery 2 Department, Centro Hospitalar de Leiria – EPE, Leiria, PortugalThe authors present the clinical case of a 14-year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. There was a background of trichophagia for 2 years without evidence of alopecia or psychiatric history. The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter. Abdominal ultrasonography showed thickening of the gastric wall and antrum with gastric distension. The abdominal tomography scan and endoscopic examination revealed the presence of a bulky trichobezoar occupying almost the entire gastric lumen. It was decided to undergo gastrotomy and extraction of the bezoar. The postoperative period was uneventful.http://www.sciencedirect.com/science/article/pii/S2341454515001118AbdomenBezoarsGastric Outlet ObstructionTrichotillomania
collection DOAJ
language English
format Article
sources DOAJ
author Ana Couceiro
Carolina Viveiro
Gustavo Capelão
João Nobre
Mónica Laureano
Inês Gonçalves
Paulo Clara
Sandra Amado
Teresa Rezende
Ana Inácio
Miguel Coelho Santos
spellingShingle Ana Couceiro
Carolina Viveiro
Gustavo Capelão
João Nobre
Mónica Laureano
Inês Gonçalves
Paulo Clara
Sandra Amado
Teresa Rezende
Ana Inácio
Miguel Coelho Santos
Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
GE: Portuguese Journal of Gastroenterology
Abdomen
Bezoars
Gastric Outlet Obstruction
Trichotillomania
author_facet Ana Couceiro
Carolina Viveiro
Gustavo Capelão
João Nobre
Mónica Laureano
Inês Gonçalves
Paulo Clara
Sandra Amado
Teresa Rezende
Ana Inácio
Miguel Coelho Santos
author_sort Ana Couceiro
title Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
title_short Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
title_full Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
title_fullStr Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
title_full_unstemmed Trichobezoar – A Rare Cause of Abdominal Mass and Gastric Outlet Obstruction
title_sort trichobezoar – a rare cause of abdominal mass and gastric outlet obstruction
publisher Karger Publishers
series GE: Portuguese Journal of Gastroenterology
issn 2341-4545
publishDate 2016-01-01
description The authors present the clinical case of a 14-year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. There was a background of trichophagia for 2 years without evidence of alopecia or psychiatric history. The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter. Abdominal ultrasonography showed thickening of the gastric wall and antrum with gastric distension. The abdominal tomography scan and endoscopic examination revealed the presence of a bulky trichobezoar occupying almost the entire gastric lumen. It was decided to undergo gastrotomy and extraction of the bezoar. The postoperative period was uneventful.
topic Abdomen
Bezoars
Gastric Outlet Obstruction
Trichotillomania
url http://www.sciencedirect.com/science/article/pii/S2341454515001118
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