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The longest trichobezoar (59 in.) presented with gastric perforation and multiple small bowel intussusceptions—a unique presentation

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Abstract

A trichobezoar is an old entity which arises out of eating own hairs. These patients are psychiatrically ill, leading them to eat their own hairs. We report a case of a 15-year-old girl with severe pain in the abdomen, tachycardia, chronic malnutrition, and cachexia. On CT scan examination, we found gastric perforation and multiple intussusceptions in the entire small bowel with trichobezoar extending up to the ileum and gastric perforation. We surgically removed the entire trichobezoar intact along with perforation repair and reduction of all intussusceptions. The tail of the trichobezoar was 59 in. long.

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References

  1. Kumar N et al (2019) Rapunzel syndrome in adult with mysterious presentation: a rare case report with literature review. Trop Doct 49(2):133–135. https://doi.org/10.1177/0049475519826477

    Article  PubMed  Google Scholar 

  2. García-Ramíreza BE et al (2018) Small-bowel obstruction secondary to ileal trichobezoar in a patient with Rapunzel syndrome. Case Rep Gastroenterol 12:559–565. https://doi.org/10.1159/000492810

    Article  Google Scholar 

  3. O’Sullivan MJ, McGreal G, Walsh JG, Redmond HP (2001) Trichobezoar. J R Soc Med 94(2):68–70

    Article  Google Scholar 

  4. Horesh N, Rosin D, Dreznik Y, Amiel I, Jacoby H, Nadler R, Gutman M, Klang E (2018) A single tertiary center 10-year experience in the surgical management of gastrointestinal bezoars. J Laparoendosc Adv Surg Tech A 28(8):967–971

    Article  Google Scholar 

  5. Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA (2010) Management of trichobezoar: case report and literature review. Pediatr Surg Int 26(5):457–463

    Article  CAS  Google Scholar 

  6. Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK (2007) Rapunzel syndrome reviewed and redefined. Dig Surg 24(3):157–161

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of GI Surgery, SIDS Hospital and Research Center, Surat, Gujarat, India

    Bhatt Keyur, Mangukiya Dhaval & Kachhadiya Daxa

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  1. Bhatt Keyur
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  2. Mangukiya Dhaval
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  3. Kachhadiya Daxa
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Correspondence to Bhatt Keyur.

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The informed and written consent was obtained from the patient regarding the presentation of this case.

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Keyur, B., Dhaval, M. & Daxa, K. The longest trichobezoar (59 in.) presented with gastric perforation and multiple small bowel intussusceptions—a unique presentation. Indian J Surg 83, 1083–1085 (2021). https://doi.org/10.1007/s12262-020-02547-7

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  • DOI: https://doi.org/10.1007/s12262-020-02547-7

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