Gastric Trichobezoar that Manifested with Chronic Epigastric Pain: A Case Report and Literature Review
Amine Maazouz *
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Mahmoud Dabbagh
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Anass Zahraoui
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Yosra Asaatach
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Zakaria Moatassim
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Hamza Hamdani
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Oussama Bahadi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Fatimazahra Benmoulla
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Omar Belkouchi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Ihab Youssef
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Hadj Omar Malki
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Lahcen Ifrine
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
Abdelkader Belkouchi
Surgery Department A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Gastric trichobezoar consist of the accumulation of chewed hair in the stomach. The hair can also extend to other structures of the digestive tract. It is a rare presentation which is usually associated with trichotillomania and trichpagia.
Trichobezoars are rare and present both a diagnostic and therapeutic challenge.
We report a case of a young adult female who presented with gastric pain. Surgery consisted of a small laparotomy and evacuation of the trichobezoar through a small gastrotomy. Treatment should be coupled to psychiatric evaluation and therapy to prevent recurrence.
Keywords: Trichobezoar, gastric, abdominal pain, laparotomy, gastrotomy and trichophagia