We present the youngest case of trichotillomania and trichophagia in a 3-year-old African-American boy who resulted in bowel obstruction. Trichophagia should be taken into consideration in a young child presenting with abdominal pain, especially with no obvious source. Although rare, undiagnosed trichobezoar has a high complication rate. However, if diagnosed and treated promptly, with appropriate psychiatric follow-up, recovery is nearly 100% with very low recurrence rate and ultimately an excellent prognosis.
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http://dx.doi.org/10.4103/ijt.ijt_99_16 | DOI Listing |
Cureus
November 2024
Department of General and Operative Surgery, Medical University "Prof. Dr. Paraskev Stoyanov", Varna, BGR.
Trichobezoar or hairball in the proximal part of the gastrointestinal tract is a rare condition that occurs mainly in young and adolescent females. Since human hair is resistant to digestive enzymes and resistant to peristalsis, it easily accumulates between the folds of the mucosa. Over time, food and mucus accumulate within the hair, forming a compact mass that fills almost the entire lumen.
View Article and Find Full Text PDFBMC Vet Res
November 2024
Department of Farm Animals, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, CH-8057, Switzerland.
Background: Small intestinal obstruction (SIO) is a blockage of the intestinal lumen by blunt foreign bodies, neoplasms originating from the intestinal wall or thick chyme. This study analysed the medical records (only data) of 110 cattle with SIO and described the clinical findings, treatment and outcome. These findings were compared between surviving and non-surviving cattle, and among the affected regions such as the duodenum, jejunum and ileum.
View Article and Find Full Text PDFPaediatr Int Child Health
August 2024
Department of General Surgery, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Trichobezoars are conglomerates of hair within the gastro-intestinal tract, commonly detected in the stomach, and they can present with the Rapunzel syndrome. Isolated small-bowel trichobezoars are extremely rare. Three female patients presented with abdominal pain and bilious vomiting, and underwent various imaging examinations.
View Article and Find Full Text PDFPediatr Surg Int
May 2024
Department of Emergency Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Purpose: Rapunzel syndrome is an uncommon condition in children, and its clinical features remain unclear. This study presents the largest single-center series of pediatric cases to date, with the objective of documenting the clinical characteristics and treatment approaches for children with Rapunzel syndrome.
Methods: A retrospective study was conducted in children with Rapunzel syndrome from 2019 to 2023.
Vet Radiol Ultrasound
May 2024
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Small intestinal obstruction in rabbits, although demonstrated to be common, is still poorly characterized. The objective of this study was to report features of small intestinal obstruction caused by trichobezoars in rabbits upon CT and their clinical outcomes. Rabbits with a diagnosis of intestinal obstruction that underwent CT scanning were included in this study.
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