Morales HL, Catalán CH, Demetrio RA, Rivas ME, Parraguez NC, Alvarez MA. Gastric trichobezoar associated with perforated peptic ulcer and Candida glabrata infection. World J Clin Cases 2014; 2(12): 918-923 [PMID: 25516871 DOI: 10.12998/wjcc.v2.i12.918]
Corresponding Author of This Article
Héctor Losada Morales, MD, MsC in Clinical Epidemiology, Cirugía Hepato-pancreática y Biliar, Departamento de Cirugía y Traumatología, Universidad de La Frontera, Claro Solar 115, Región de la Araucanía, Temuco 4781218, Chile. hector.losada@ufrontera.cl
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Héctor Losada Morales, Cirugía Hepato-pancreática y Biliar, Departamento de Cirugía, Clínica Alemana de Temuco, Temuco 4810297, Chile
Héctor Losada Morales, Martín Alanis Alvarez, Cirugía Hepato-pancreática y Biliar, Departamento de Cirugía y Traumatología, Universidad de La Frontera, Temuco 4781218, Chile
Cecilia Huenchullán Catalán, Departamento de Imágenes, Clínica Alemana de Temuco, Temuco 4810297, Chile
Rodrigo Arriagada Demetrio, Macarena Espinoza Rivas, Natalia Castagnoli Parraguez, Departamento de Ginecología y Obstetricia, Clínica Alemana de Temuco, Temuco 4810297, Chile
Author contributions: Losada Morales H contributed to design the paper, review clinical issues, images and histopathology and to write the paper; Huenchullán Catalán C contributed to review of images and to write the paper; Arriagada Demetrio R, Espinoza Rivas M, Castagnoli Parraguez N and Alanis Alvarez M contributed to review the clinical issues, to write the paper; all authors of this research paper have directly participated in the planning, execution, or analysis of this study; all authors of this paper have read and approved the final version submitted.
Correspondence to: Héctor Losada Morales, MD, MsC in Clinical Epidemiology, Cirugía Hepato-pancreática y Biliar, Departamento de Cirugía y Traumatología, Universidad de La Frontera, Claro Solar 115, Región de la Araucanía, Temuco 4781218, Chile. hector.losada@ufrontera.cl
Telephone: +56-45-2325760 Fax: +56-45-2325761
Received: July 6, 2014 Revised: August 24, 2014 Accepted: September 16, 2014 Published online: December 16, 2014 Processing time: 165 Days and 12.1 Hours
Abstract
Bezoars are accumulations of human or plant fiber located in the gastrointestinal tract of both humans and animals. Patients remain asymptomatic for several years, and the symptoms develop as these accumulations increase in size to the point of obstruction or perforation. We report the case of a 21-year-old patient at 10 d postpartum, who presented with acute abdomen associated with sepsis. Given the urgency of the clinical picture, at no point was the presence of a giant bezoar at gastric level suspected, specifically a trichobezoar. The emergency abdominal and pelvic ultrasound revealed only unspecific signs of perforated hollow viscus. Diagnosis was therefore made intraoperatively. A complete gastric trichobezoar was found with gastric perforation and secondary peritonitis. The peritoneal fluid culture revealed Candida glabrata.
Core tip: This case report describes the presentation of a gastric trichobezoar as an acute abdomen in puerperal woman with a detailed clinical description and images. The discussion provides an extensive analysis on the various types of treatments that exist today and their results, as well as evaluating its association with specific psychiatric diseases, and the finding of Candida infection in the patient evolution.
