Unusual trichobezoar of the stomach and the intestine: a case report.

Marwan M Al-Sharbati,Issam S Al-Janabi,Muthanna A Al-Sharbaty,Laith A Al-Sharifi,Allal Ouhtit

doi:10.1186/1752-1947-8-79

Abstract

IntroductionTrichobezoars are an infrequent form of bezoar found in the stomach or intestine, created from ingested hair. This condition has been well described in the surgical literature, but less reported in psychiatry.Case presentationWe describe the case of an 18-year-old Middle Eastern Caucasian woman with trichotillomania who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparotomy.ConclusionThe medical and psychiatric sequelae of trichotillomania should not be underestimated, and early diagnosis and treatment is of utmost importance to save the patient’s life and prevent recurrence. Although laparotomy is still considered an excellent option, pharmacotherapy and behavioral assessment play a useful role in patient management. Our case highlights the fundamental concept of a holistic approach rather than only treating the symptoms, by considering factors such as genetic influences to understand the disease.

Highlights

Trichobezoars are an infrequent form of bezoar found in the stomach or intestine, created from ingested hair
Laparotomy is still considered an excellent option, pharmacotherapy and behavioral assessment play a useful role in patient management
It results from trichotillomania, a psychiatric disorder characterized by the compulsory and persistent pulling out of one’s hair, involving the hair of the scalp, eyebrows, eyelashes or elsewhere in the body, which leads to noticeable hair loss

Summary

Conclusion

The medical and psychiatric sequelae of trichotillomania should not be underestimated, and early diagnosis and treatment is of utmost importance to save the patient’s life and prevent recurrence.

Introduction

Conclusions

Findings

28. Grados MA