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Al-Mouakeh A, Shashaa MN, Brimo Alsaman MZ, et al. Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report. Int J Surg Case Rep. 2019;61:48-50doi: 10.1016/j.ijscr.2019.05.045.
Al-Mouakeh, A., Shashaa, M. N., Brimo Alsaman, M. Z., Zazo, A., Alkarrash, M. S., Zazo, R., & Niazi, A. (2019). Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report. International journal of surgery case reports, 6148-50. https://doi.org/10.1016/j.ijscr.2019.05.045
Al-Mouakeh, Ahmad, et al. "Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report." International journal of surgery case reports vol. 61 (2019): 48-50. doi: https://doi.org/10.1016/j.ijscr.2019.05.045
Al-Mouakeh A, Shashaa MN, Brimo Alsaman MZ, Zazo A, Alkarrash MS, Zazo R, Niazi A. Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report. Int J Surg Case Rep. 2019;61:48-50. doi: 10.1016/j.ijscr.2019.05.045. Epub 2019 Jul 11. PMID: 31323484; PMCID: PMC6637247.
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Int J Surg Case Rep. 2019;61:48-50. doi: 10.1016/j.ijscr.2019.05.045. Epub 2019 Jul 11.

Trichobezoar in a young girl caused by ingestion of bristles brush for more than a decade: A case report.

International journal of surgery case reports

Ahmad Al-Mouakeh, Mohammad Nour Shashaa, Muhamad Zakaria Brimo Alsaman, Aya Zazo, Mohamad Shadi Alkarrash, Rama Zazo, Ammar Niazi

Affiliations

  1. Faculty of Medicine, University of Aleppo, Aleppo, Syria.
  2. Faculty of Medicine, University of Aleppo, Aleppo, Syria. Electronic address: [email protected].
  3. Surgery Department, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria.

PMID: 31323484 PMCID: PMC6637247 DOI: 10.1016/j.ijscr.2019.05.045

Abstract

INTRODUCTION: Trichobezoar is a rare cause of bowel obstruction. In general, Trichobezoars are composed of hair and usually found incidentally in patients undergoing upper gastrointestinal endoscopy or imaging. Patients diagnosed with Trichobezoar may have psychiatric disorders.

DISCUSSION: Trichobezoars cause nonspecific symptoms like asymptomatic abdominal mass, vomiting, nausea, and anorexia. Diagnosis of Trichobezoar is made by endoscopic examination and radiological methods. Therapeutic options for trichobeazoar are chemical dissolution, endoscopic removal or surgery.

CASE PRESENTATION: Here we present a case of an 18-year-old girl who has a unique type of Trichobezoars caused by ingestion of hair and bristle clothes brush for 14 years. She presented to the surgical clinic complaining of vomiting, anorexia and epigastric mass. Abdominal computed tomography scanner showed nonattached intragastric mass which was consistent with trichobezoar. The patient was managed by surgical removal of the intragastric mass.

CONCLUSION: Trichobezoar is caused by chronic ingestion of hair; it is commonly seen in young females who may have psychological disorders, such as trichophagia and trichotillomania. Common symptoms are abdominal pain, nausea, vomiting, and weight loss. Surgical intervention is performed for the majority of the patients.

Copyright © 2019 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Bowel obstruction; Bristle brush; Hair; Mass; Psychiatric disorders; Trichobezoar

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