Management of trichobezoar: case report and literature review

Trichobezoars (hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options...

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Published inPediatric surgery international Vol. 26; no. 5; pp. 457 - 463
Main Authors Gorter, R. R., Kneepkens, C. M. F., Mattens, E. C. J. L., Aronson, D. C., Heij, H. A.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer-Verlag 01.05.2010
Springer Nature B.V
Subjects
Adolescent
Bezoars - complications
Bezoars - diagnosis
Bezoars - psychology
Bezoars - surgery
Child
Female
Gastroscopy
Humans
Laparoscopy
Laparotomy
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Review
Review Article
Surgery
Trichobezoar
Therapy
Rapunzel syndrome
Trichotillomania
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Summary:Trichobezoars (hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. We present our experience with four patients and provide a review of the recent literature. According to our experience and in line with the published results, conventional laparotomy is still the treatment of choice. In addition, psychiatric consultation is necessary to prevent relapses.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Review-3
content type line 23
ObjectType-Feature-5
ObjectType-Article-4
ObjectType-Report-1
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-010-2570-0