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Small bowel volvulus with a jejunal trichobezoar

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Abstract

Background

Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children.

Case characteristics

An 8-year-old girl with abdominal pain and persistent bilious vomiting.

Observation

The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar.

Outcome

Satisfactory recovery after surgery.

Message

Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.

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Author information

Authors and Affiliations

  1. Departments of Pediatrics, KEPCO Medical Center, 308, Uicheon-ro, Dobong-gu, Seoul, Republic of Korea

    Ky Young Cho & Dong Ho Shim

  2. Surgery, KEPCO Medical Center, Seoul, Republic of Korea

    Kyung Tak Yoo

Authors
  1. Ky Young Cho
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  2. Dong Ho Shim
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  3. Kyung Tak Yoo
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Corresponding author

Correspondence to Ky Young Cho.

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Cho, K.Y., Shim, D.H. & Yoo, K.T. Small bowel volvulus with a jejunal trichobezoar. Indian Pediatr 51, 575–576 (2014). https://doi.org/10.1007/s13312-014-0451-7

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  • DOI: https://doi.org/10.1007/s13312-014-0451-7

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