Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Revista de la Facultad de Medicina (México)
versión On-line ISSN 2448-4865versión impresa ISSN 0026-1742
Resumen
BLANCO TAPIA, Sergio; JAUREGUI PARAVICINI, Lorena y CARVAJAL TAPIA, Aarón Eduardo. Gastric and Gastroduodenal Trichobezoar in Pediatrics. Report of 2 Cases and surgical Implications. Rev. Fac. Med. (Méx.) [online]. 2022, vol.65, n.4, pp.24-29. Epub 08-Ago-2022. ISSN 2448-4865. https://doi.org/10.22201/fm.24484865e.2022.65.4.03.
The trichobezoar is a variety of bezoars whose characteristic is the presence of a compact mass made up of indigestible material, mainly hair and other components.
Presentation of cases:
We present 2 cases of patients aged 4 and 9 years, who were admitted to an emergency room, with symptoms of chronic evolution characterized by a palpable abdominal mass, progressive weight loss associated with trichophagia-trichotillomania, with presumed diagnosis of gastric bezoar admission. The abdominal ultrasound in both reported an echorefringent image inside that produces an acoustic shadow, compatible with a probable trichobezoar, a diagnosis reinforced by contrast-enhanced computed tomography. Given the impossibility of endoscopic extraction due to the large size, it was decided to perform exploratory laparotomy, extracting the complete en-bloc mass through a gastrotomy in both cases. The patients presented a favorable evolution, receiving parenteral feeding for 5 days and then oral ingestion with good tolerance, being discharged from hospital on their 9th and 10th postoperative day with interdisciplinary follow-up and psychological support. There is a high suspicion of trichobezoar in the presence of trichotillomania, affective compromise, psychomotor retardation, intestinal symptoms and postsurgical neuropsychiatric management is essential in order to reduce the risk of recurrence.
Palabras llave : Bezoars; trichotillomania; gastrointestinal diseases.