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Tricholithobezoar causing gastric perforation.
Santos Valenciano, Juliana; Nonose, Ronaldo; Bragattini Cruz, Rodrigo; Tiemi Sato, Daniela; Monteiro Fernandes, Felipecappellette; Fabrício Nascimento, Enzo; Real Martinez, Carlos Augusto.
Afiliação
  • Santos Valenciano J; Department of General Surgery, São Francisco University Hospital, Bragança Paulista (SP), Brazil.
Case Rep Gastroenterol ; 6(1): 26-32, 2012 Jan.
Article em En | MEDLINE | ID: mdl-22379468
A bezoar is an intraluminal mass formed by the accumulation of undigested material in the gastrointestinal tract. Trichobezoar is a rare condition seen almost exclusively in young women with trichotillomania and trichotillophagia. When not recognized, the trichobezoar continues to grow, which increases the risk of severe complications such as gastric ulceration and even perforation. Formation of a gallstone within the trichobezoar (tricholithobezoar) is an event that has not yet been described. We report the case of a 22-year-old woman admitted to the emergency room with signals and symptoms of an epigastric mass and perforative acute abdomen. Radiological study revealed bilateral pneumoperitoneum. Personal history revealed depressive syndrome, trichotillomania and trichophagia. With a diagnosis of visceral perforation, an urgent exploratory laparotomy was performed. This confirmed the diagnosis of gastric perforation due to a large trichobezoar with the formation of a gastrolith that was removed by anterior gastrotomy. Biochemical study of the gastric stone revealed that it was composed of bile salts. There were no complications. The patient was discharged on the 5th postoperative day and was referred for psychiatric treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Case Rep Gastroenterol Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Case Rep Gastroenterol Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça