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Gastric trichobezoar in a 6-year old girl.

Joshi N, Shah R - APSP J Case Rep (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, P.D. Hinduja Hospital and MRC. VS Marg, Mahim, Mumbai - 400020.

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About 10% of patients show psychiatric abnormalities termed as trichotillomania or mental retardation.[1] A 6-year old girl was seen by local practitioner with complaints of fever... On routine examination a lump was palpable in the epigastric and the left hypochondriac regions... There were no associated symptoms like hematemesis, melena, abdominal pain, distension of abdomen or vomiting... There was no history of abnormal behavior... Although not a therapeutic option, endoscopy is extremely valuable as a diagnostic modality in patients in whom the nature of the gastric mass is unclear... It enables the differentiation between trichobezoar and foreign bodies that can be fragmented and removed using endoscopy.[4] Even in our case, the patient had upper GI endoscopy for diagnostic and therapeutic purposes... But decision to perform a laparotomy was taken due to large size of trichobezoar... Many of these patients have psychiatric pathology with emotional problems, family discord, and history of neglect or mental retardation... Counselling by a psychiatrist is an important part of management to prevent recurrence.[5] In our case although the psychiatric evaluation was normal, but concealing the history of trichophagia by the patient himself may point to some underlying psychological or psychiatric problem... Nil None declared

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Figure 2: Figure 2: Retrieved gastric trichobezoar.


Gastric trichobezoar in a 6-year old girl.

Joshi N, Shah R - APSP J Case Rep (2015)

Figure 2: Retrieved gastric trichobezoar.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4288839&req=5

Figure 2: Figure 2: Retrieved gastric trichobezoar.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, P.D. Hinduja Hospital and MRC. VS Marg, Mahim, Mumbai - 400020.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

About 10% of patients show psychiatric abnormalities termed as trichotillomania or mental retardation.[1] A 6-year old girl was seen by local practitioner with complaints of fever... On routine examination a lump was palpable in the epigastric and the left hypochondriac regions... There were no associated symptoms like hematemesis, melena, abdominal pain, distension of abdomen or vomiting... There was no history of abnormal behavior... Although not a therapeutic option, endoscopy is extremely valuable as a diagnostic modality in patients in whom the nature of the gastric mass is unclear... It enables the differentiation between trichobezoar and foreign bodies that can be fragmented and removed using endoscopy.[4] Even in our case, the patient had upper GI endoscopy for diagnostic and therapeutic purposes... But decision to perform a laparotomy was taken due to large size of trichobezoar... Many of these patients have psychiatric pathology with emotional problems, family discord, and history of neglect or mental retardation... Counselling by a psychiatrist is an important part of management to prevent recurrence.[5] In our case although the psychiatric evaluation was normal, but concealing the history of trichophagia by the patient himself may point to some underlying psychological or psychiatric problem... Nil None declared

No MeSH data available.


Related in: MedlinePlus