Trichobezoar is a rare condition, almost exclusively seen in young females with certain psychiatric disorders. Trichobezoars are usually confined within the stomach and the complications include ulceration, perforation, intussusception and obstruction for which surgery is usually required. Most of the reported cases of giant gastric trichobezoar extraction underwent an exploratory laparotomy with only a few reported cases that underwent a successful laparoscopic approach. This case report details the surgical management of the first case of a giant obstructing gastric trichobezoar extraction using robotic-assisted surgery.
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http://dx.doi.org/10.1093/jscr/rjac472 | DOI Listing |
World J Gastrointest Endosc
January 2025
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Lukang Christian Hospital, Changhua 505002, Taiwan.
Background: Gastric bezoars are indigestible masses that can lead to gastrointestinal obstruction and ulceration. Standard treatments include endoscopic mechanical lithotripsy with a polypectomy snare and Coca-Cola dissolution therapy or a combination of both approaches. However, giant bezoars frequently require multiple treatment sessions and extended hospital stays.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
School of Clinical Medical College, Hebei University, Baoding 071000, China; Department of Digestive Medicine, Affiliated Hospital of Hebei University, Baoding 071000, China.
Introduction: Bezoar is an unusual cause of small bowel obstruction accounting for 0.4-4 % of all mechanical bowel obstruction. With the rising incidence of diabetes and the associated risk of gastrointestinal issues.
View Article and Find Full Text PDFRev Esp Enferm Dig
January 2025
Internal Medicine. Division of Gastroenterology, Yong-in Severance Hospital. University of Yonsei College of Medicine, Republic of Korea .
Esophageal bezoars are known to be significantly rarer compared to gastric bezoars. A 68-year-old woman presented with acute chest pain and worsening dysphagia to both solids and liquids, culminating in inability to consume water without vomiting.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of Pathology, Health Plus Diagnostics, Gorakhpur, India.
Introduction And Importance: Rapunzel syndrome is a rare condition that results from trichotillomania (compulsive hair pulling) and trichophagia (hair eating), causing a trichobezoar (hairball) to form This syndrome typically affects young females with psychiatric conditions and presents with symptoms like chronic abdominal pain, nausea, vomiting, and malnutrition. The condition is often diagnosed late, leading to serious gastrointestinal complications.
Case Presentation: A 19-year-old female from a rural community presented with chronic abdominal pain, vomiting, and nutritional deficiencies, including scaly skin and koilonychia.
Int J Surg Case Rep
January 2025
King Edward Medical University, Lahore 54000, Punjab, Pakistan.
Introduction And Importance: Trichobezor is a mass of accumulated ingested hair in the gastric lumen. Rapunzel syndrome is an extension of these bezoars beyond the pylorus. The formation of trichobezoar is invariably linked to trichotillomania and trichophagia.
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