Huge Gastro Duodenal Trichobezoar: A Case report
Fernando Nantote *
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
Imane El Messaoudi
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
El Azzaoui Imad
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
M. Bouzroud
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
M. Najih
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
H. El Kaoui
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
M. Bouchentouf
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
M. Moujahid
Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction : The "Bezoar" designates a rare condition, secondary to the unusual accumulation, in the form of solid masses or concretions, of substances of various kinds inside the digestive tract and more particularly, at the level of the stomach which can extend to the coves. It mainly affects young patients disturbed by psychological disorders. We report this case occupying the entire stomach with a duodenal tail whose management is not surgical.
Clinical Observation: This is a trichobezoar in a 23-year-old patient, operated on at the age of 13 for a trichobezoar. She presented with vomiting, digestive hemorrhage on an epigastric mass. Upper fibroscopy (FOGD) made the diagnosis, which was confirmed by CT scan. Therapeutic management was surgical.
Discussion: Rare pathology, due to the ingestion of hair and other fibrous matter, by young subjects suffering from psychiatric disorders. It evolves over time, with a varied clinic. Its diagnosis is endoscopic and CT-scan. The treatment is surgical for the large forms.
Conclusion: A bezoar is an easy condition to diagnose and treat. Affected patients should be monitored by a psychiatrist.
Keywords: Gastroduodenal trichobezoar, fibroscopy, gastrotomy, psychiatry