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Introduction: Colonic bezoars are undigested or partially digested materials that accumulate in the form of a mass in the colon. There are occasional reports of constipation and intestinal obstruction due to geophagia or pica. Bezoars are due to pica, which is commonly associated with iron deficiency anemia and psychiatry disorders.

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Point-of-care ultrasound (POCUS) can expedite the diagnosis of pediatric abdominal pathologies including appendicitis and intussusception. In this patient series, we present cases from multiple pediatric emergency departments that demonstrate the use of POCUS in the diagnosis of trichobezoars in children. POCUS findings include the presence of an intragastric hyperechoic mass or a hyperechoic arch and associated posterior acoustic shadowing.

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A giant trichobezoar in a child with attention deficit hyperactivity disorder: A case report.

Int J Surg Case Rep

October 2024

Student Research Committee, Shiraz University of Medical Sciences, Shiraz 7138433608, Iran. Electronic address:

Article Synopsis
  • Trichobezoars are rare gastric masses formed from ingested hair, mainly impacting young girls with mental health disorders like trichotillomania and Trichophagia, leading to potential serious health issues if not treated promptly.
  • A case study of a 10-year-old girl with a complex medical history, including ADHD and pica behaviors, illustrated the challenges in diagnosing and treating a large gastric trichobezoar, confirmed through imaging techniques.
  • The girl underwent surgical removal of the trichobezoar and is now recovering while receiving psychiatric care to address her hair ingestion behavior and associated mental health concerns.
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Trichobezoars in children - A psychological perspective.

Asian J Psychiatr

November 2024

Department of Paediatrics, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangalore, India; Department of Clinical Medicine, American University of Antigua, College of Medicine, Osbourn, Antigua & Barbuda.

Article Synopsis
  • Trichobezoars, or hairballs in the gastrointestinal tract, are caused by trichotillomania (compulsive hair pulling) and trichophagia (compulsive hair eating).
  • The DSM-5 categorizes trichotillomania as part of the obsessive-compulsive spectrum disorders.
  • This case series examines four children with trichobezoars, highlighting their different psychological backgrounds and reviewing existing research on the complexities of trichotillomania.
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Background: An ex-27-week gestation female infant developed bilateral forearm nodules at 4 weeks of life during treatment for methicillin-sensitive Staphylococcus aureus bacteremia. A pure growth of Candida albicans was isolated on culture of both sterile aspiration of the forearm abscess and urine without evidence of methicillin-sensitive Staphylococcus aureus . The patient went on to develop bilateral obstructive renal fungal bezoars at 11 weeks of life.

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