Rare case of trichobezoar causing pancreatitis in a young woman.

BMJ Case Rep

General Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Published: December 2019

This is a case of a 14-year-old woman diagnosed with acute pancreatitis based on history and laboratory investigations. CT scan confirmed the diagnosis of acute pancreatitis along with the presence of two bezoars in the stomach and proximal jejunum. Gastroscopy showed a large trichobezoar with difficult endoscopic extraction. Accordingly, the patient underwent laparotomy, gastrostomy and enterotomy with successful removal of the large gastric and jejunal daughter bezoars. Following surgery, pancreatitis resolved and investigations returned to normal. Child psychiatry consultation was sought, and she was diagnosed with trichotillomania and trichophagia.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001681PMC
http://dx.doi.org/10.1136/bcr-2018-229173DOI Listing

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