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The Stomach Full of Hair-Trichobezoar |
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Published: July 1, 2022 | DOI: https://doi.org/10.7860/IJARS/2022/52792.2799 |
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Raghav Yelamanchi, Gayathri Dharma Teja Manda, Gautam Kumar Chukka, Manoj Dokania 1. Senior Resident, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. 2. Resident, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. 3. Resident, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. 4. Consultant, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. |
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Correspondence Address : Raghav Yelamanchi, Gayathri Dharma Teja Manda, Gautam Kumar Chukka, Manoj Dokania, Raghav Yelamanchi, Ward 17, Old Building Dr Ram Manohar Lohia Hospital, New Delhi, India. E-mail: raghavyelamanchi@gmail.com |
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| ABSTRACT |  | |||||
: Trichobezoars are rare masses of hair resulting from hair plucking (trichotillomania) and hair eating (trichophagia). Few of the hair may also be carried by peristalsis into the duodenum. This condition is known as Rapunzel syndrome. Complications include gastric perforation, small bowel obstruction and pancreatitis. Here the authors present a case of 20-year old female patient who presented with complaints of abdominal pain, early satiety and non-bilious vomiting. On examination, there was a swelling of size 10×5 cm predominantly in the epigastric and umbilical regions. Contrast Enhanced Computed Tomography (CECT) of the abdomen revealed a grossly dilated stomach with a heterogeneous mass in the lumen obstructing the pylorus. Upper gastrointestinal endoscopy confirmed the diagnosis of trichobezoar. Trichobezoar was removed by laparotomy and the patient had an uneventful recovery. Treatment is mainly laparotomy and minimally invasive methods can be used for small lesions with limited success rate. Psychiatric consultation is a must in all cases. | ||||||
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| Keywords : Trichotillomania, Trichophagy, Rapunzel syndrome, Gastric outlet obstruction, Laparotomy | ||||||
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DOI and Others :
DOI: 10.7860/IJARS/2022/52792.2799
Date of Submission: Oct 08, 2021 Date of Peer Review: Jan 12, 2022 Date of Acceptance: Feb 23, 2022 Date of Publishing: Jul 01, 2022 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Oct 11, 2021 • Manual Googlin |
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Case report
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