Trichobezoar presenting as an acute abdominal obstruction in a 17-year-old girl.
Zuhal BayramoğluRana Gunoz ComertBasak ErginelAbdulkadir BazikiPublished in: Paediatrics and international child health (2022)
Trichobezoars are hairballs that combine with food residue in the digestive tract as a result of ingesting hair. A 17-year-old girl was admitted to the emergency department with abdominal pain and vomiting for 3 days. She had been having digestive difficulty and bloating for the previous 2 months. An abdominal radiograph demonstrated air-fluid levels consistent with ileus, and an ultrasound showed hyperechoic material in the stomach and ileum. Computed tomography demonstrated images of trapped air which was considered diagnostic of a bezoar. At laparotomy, a large mass was removed from the stomach. As the bezoar extended through the pylorus and duodenum and there were mobile masses palpable in the ileum, it required a second incision to remove them. For some years she had had a habit of swallowing hair which she found on her pillow and there was a history of an obsessive personality trait and hyperactivity for which she agreed to attend a psychiatric clinic. Abbreviations: BMI: body mass index; CT: computed tomography; Hb: haemoglobin; IV: intravenous; WHO: World Health Organization.
Keyphrases
- computed tomography
- abdominal pain
- body mass index
- contrast enhanced
- emergency department
- dual energy
- magnetic resonance imaging
- positron emission tomography
- image quality
- weight gain
- liver failure
- ultrasound guided
- mental health
- primary care
- convolutional neural network
- contrast enhanced ultrasound
- high dose
- deep learning
- physical activity
- respiratory failure
- obsessive compulsive disorder
- genome wide
- optical coherence tomography
- magnetic resonance
- drug induced
- risk assessment
- gene expression
- cataract surgery
- fine needle aspiration
- extracorporeal membrane oxygenation
- climate change
- acute respiratory distress syndrome
- intensive care unit