IJCRR - Vol 06 Issue 17, September, 2014
MULTIPLE TRICHOBEZOAR (GASTRIC and ILEAL) PRESENTING AS INTESTINAL OBSTRUCTION: CASE STUDY OF TWO PATIENTS
Author: Vineet Choudhary, Ravi Kumar Mathur, Sadhna Mathur, Brijesh Singh
Aim: We are presenting two rare cases of simultaneous occurrence of Gastric and Ileal trichobezoar presenting with intestinal obstruction.
Case Report: First case is 22 year old female with 6 months pregnancy complicated by intestinal obstruction due to multiple trichobezoars, Gastric and Ileal, which were removed successfully by exploratory laparotomy. Pregnancy and simultaneous occurrence of gastric and Ileal trichobezoar presenting as Intestinal obstruction makes this case rare and interesting. The second case is a 10 year old girl presenting with intestinal obstruction due to trichobezoars in both Gastric and Ileum. In this patient in iew of the clinical history of trichophagia, trichotillomania, radiological imaging studies suggestive of intestinal obstruction due to trichobezoar; Exploratory laparotomy done which revealed simultaneous Gastric and Ileal trichobezoar which were successfully removed.
Discussion: Isolated Gastric trichobezoar, those with extension into the duodenum and small intestinal trichobezoars have been described in the literature however the presence of discrete gastric and intestinal trichobezoars are rarely presented. Conclusion: These cases emphasize the importance of careful clinical history, role of radiological studies including USG, Barium contrast study, complete intraoperative evaluation of intestine at the time of dealing with a Gastric trichobezoar in diagnosis of trichobezoar.
Keywords: Trichophagia, Trichotillomania, Bezoar, Trichobezoar, Intestinal obstruction, Simultaneuos
Vineet Choudhary, Ravi Kumar Mathur, Sadhna Mathur, Brijesh Singh. MULTIPLE TRICHOBEZOAR (GASTRIC and ILEAL) PRESENTING AS INTESTINAL OBSTRUCTION: CASE STUDY OF TWO PATIENTS International Journal of Current Research and Review. Vol 06 Issue 17, September, 55-58
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