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Management of trichobezoar: case report and literature review

TLDR
According to the experience and in line with the published results, conventional laparotomy is still the treatment of choice and psychiatric consultation is necessary to prevent relapses.
Abstract
Trichobezoars (hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. We present our experience with four patients and provide a review of the recent literature. According to our experience and in line with the published results, conventional laparotomy is still the treatment of choice. In addition, psychiatric consultation is necessary to prevent relapses.

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Journal ArticleDOI

Review of the diagnosis and management of gastrointestinal bezoars

TL;DR: An overview of the prevalence, classification, predisposing factors, and manifestations of bezoars is provided, and diagnosis and management strategies are discussed, reviewing mainly the own case series.
Journal ArticleDOI

Clinical guidelines for imaging and reporting ingested foreign bodies.

TL;DR: The characteristics of foreign bodies and predisposing bowel abnormalities affect the decision to follow ingested objects radiographically, perform additional imaging, or proceed with endoscopic or surgical removal.
Journal ArticleDOI

The surgical management of Rapunzel syndrome: a case series and literature review

TL;DR: This series of trichobezoar patients appears to have a high rate of Rapunzel syndrome, and perhaps postpyloric extension should be considered the rule rather than the exception, and treatment should be a combination of laparoscopy and/or laparotomy with psychiatric consultation.
Journal ArticleDOI

Usual and unusual causes of pediatric gastric outlet obstruction

TL;DR: The spectrum of both the common and uncommon entities that cause partial or complete gastric outlet obstruction and their imaging appearances are reviewed, leading to optimal and timely patient management.
References
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Journal ArticleDOI

Radiological case of the month.

TL;DR: An 11-month-old boy admitted to Children's Hospital of Los Angeles with a history of being perfectly well until four days prior to admission had apparent abdominal pain which was intermittent and colicky in nature and had one liquid stool and two episodes of emesis.
Journal Article

Clinical profile, comorbidity, and treatment history in 123 hair pullers: a survey study.

TL;DR: Trichotillomania is a chronic illness that may be difficult to treat and controlled studies on comorbidity, epidemiology, treatment-seeking patterns, and long-term treatment response are needed.
Journal ArticleDOI

Rapunzel syndrome reviewed and redefined.

TL;DR: This work evaluates the various cases reported and discusses the various modes of presentation of this uncommon syndrome, and presents a series of 3 cases, all females, aged 16, 18 and 21 years, and had a trichobezoar in the stomach with a tail extending into the ileum.
Journal ArticleDOI

Gastric Trichobezoar: Case Report and Literature Review

TL;DR: A 4-year-old girl with trichotillomania is described in whom a gastric trichobezoar resulted in failure to gain weight, iron deficiency anemia, and a painless epigastric mass.
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