Management of trichobezoar: case report and literature review

Pediatr Surg Int. 2010 May;26(5):457-63. doi: 10.1007/s00383-010-2570-0. Epub 2010 Mar 6.

Abstract

Trichobezoars (hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. We present our experience with four patients and provide a review of the recent literature. According to our experience and in line with the published results, conventional laparotomy is still the treatment of choice. In addition, psychiatric consultation is necessary to prevent relapses.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Bezoars / complications
  • Bezoars / diagnosis
  • Bezoars / psychology
  • Bezoars / surgery*
  • Child
  • Female
  • Gastroscopy
  • Humans
  • Laparoscopy
  • Laparotomy