Laparoscopic Removal of a Gastric Trichobezoar in an 8-Year-Old Girl: a Case Report.
- Author:
Gyuseog CHOI
1
;
Byungho CHOE
;
Jinyoung PARK
Author Information
1. Department of Pediatric, School of Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Trichobezoar;
Girl;
Laparoscopic removal
- MeSH:
Abdominal Pain;
Bezoars;
Child;
Female;
Humans;
Physical Examination;
Stomach;
Surgical Instruments;
Trichotillomania
- From:Journal of the Korean Association of Pediatric Surgeons
2010;16(1):43-48
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastric trichobezoars are commonly observed in young women with trichotillomania and trichophagia. We encountered an 8-year-old girl who had trichotillomania and trichophagia with abdominal pain and a mass, which was diagnosed as a large gastric trichobezoar. On physical examination, a huge, firm nontender mobile mass was palpated in her epigastrium. An upper gastrointestinal series and abdominal computed tomography (CT) scan showed a large mass in the stomach. Endoscopic removal was tried but failed. Laparoscopic removal was therefore performed. The trichobezoar was successfully retrieved through a gastrotomy and removed through an extended umbilical trocar incision. This case demonstrates that laparoscopic removal of large gastric trichobezoars is feasible and safe without a large abdominal incision.
