1.Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception
The Medical Journal of Malaysia 2016;71(2):74-76
We present a rare case of stomach trichobezoar complicated
with iatrogenic intussusception noted intra-operatively after
failed attempt of endoscopic removal in a 13-year-old girl. At
presentation, she had gastric outlet obstruction with
anaemia. Endoscopy established the diagnosis of
trichobezoar. Surgical removal was warranted after failed
endoscopic removal. Her postoperative course was
uneventful. Detailed history and careful examination
disclosed trichotillomania and associated trichophagia.
Psychiatric referral was sought with the intention to prevent
future recurrence.
Bezoars
2.A 'Hairy' problem: Trichotillomania, trichophagia and trichobezoars.
Singapore medical journal 2016;57(7):411-411
Adolescent
;
Bezoars
;
surgery
;
Duodenum
;
surgery
;
Female
;
Hair
;
Humans
;
Stomach
;
pathology
;
Treatment Outcome
;
Trichotillomania
;
diagnosis
;
surgery
3.An unexpected encounter with jejunal web after foreign bodies entrapment in a toddler
The Medical Journal of Malaysia 2019;74(3):231-233
We present a very rare case of jejunal web discovered after
a toddler presented with foreign bodies entrapment,
following incidental ingestion. This is perhaps the first case
reported in the English publication. Expectant management
with spontaneous passage of foreign bodies failed. Serial
abdominal radiographs failed to determine the site of the
foreign bodies accurately. Endoscopic removal was
unsuccessful. Surgical removal was warranted with
unexpected intra-operative finding of a jejunal web with
foreign body entrapment. Although rare, a congenital
intestinal web must be considered in a child presents with
failure of expectant management following foreign body
ingestion as surgical intervention is necessary