Dong ZH, Yin F, Du SL, Mo ZH. Giant gastroduodenal trichobezoar: A case report. World J Clin Cases 2019; 7(21): 3649-3654 [PMID: 31750349 DOI: 10.12998/wjcc.v7.i21.3649]
Corresponding Author of This Article
Zhi-Hui Dong, PhD, Associate Professor, Surgeon, Department of Radiology, Luoyang Central Hospital Affiliated to Zhengzhou University, No. 288, Zhongzhou Zhong Road, Luoyang 471009, Henan Province, China. dongzhih@163.com
Research Domain of This Article
Gastroenterology & Hepatology
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/
World J Clin Cases. Nov 6, 2019; 7(21): 3649-3654 Published online Nov 6, 2019. doi: 10.12998/wjcc.v7.i21.3649
Giant gastroduodenal trichobezoar: A case report
Zhi-Hui Dong, Feng Yin, Shi-Lin Du, Zhe-Heng Mo
Zhi-Hui Dong, Shi-Lin Du, Zhe-Heng Mo, Department of Radiology, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang 471009, Henan Province, China
Feng Yin, Pharmacology Department, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang 471009, Henan Province, China
Author contributions: Dong ZH and Feng Y contributed equally to this paper and should be regarded as co-first authors; Dong ZH, Mo ZH, and Du SL performed the operation and wrote the paper; Feng Y helped draft the manuscript and prepared the figures; all the authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article are reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: 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/
Corresponding author: Zhi-Hui Dong, PhD, Associate Professor, Surgeon, Department of Radiology, Luoyang Central Hospital Affiliated to Zhengzhou University, No. 288, Zhongzhou Zhong Road, Luoyang 471009, Henan Province, China. dongzhih@163.com
Telephone: +86-379-63892008 Fax: +86-379-63892003
Received: August 18, 2019 Peer-review started: August 18, 2019 First decision: September 9, 2019 Revised: September 23, 2019 Accepted: October 5, 2019 Article in press: October 5, 2019 Published online: November 6, 2019 Processing time: 81 Days and 18.2 Hours
Abstract
BACKGROUND
We report a case of giant gastroduodenal trichobezoar, an extremely rare upper gastrointestinal bezoar due to trichotillomania and trichophagia.
CASE SUMMARY
The patient was a 10-year-old girl who presented with an abdominal mass that was discovered at palpation and noninvasive imaging examinations. Computed tomography (CT) showed a well-circumscribed heterogeneous mass extending from the stomach into the duodenum. The patient underwent a laparotomy to pull out the trichobezoar. Although these imaging findings are nonspecific, trichobezoar should be included in the differential diagnosis of gastric mass, especially with the history of an irresistible urge to pull out and swallow their hair.
CONCLUSION
Laparotomy is useful and practical for the management of giant gastroduodenal trichobezoar.
Core tip: A case of giant gastroduodenal trichobezoar, an extremely rare upper gastrointestinal bezoar due to trichotillomania and trichophagia, is reported. The patient was a 10-year-old girl who presented with an abdominal mass that was discovered at palpation and noninvasive imaging examinations. Computed tomography showed a well-circumscribed heterogeneous mass extending from the stomach into the duodenum. Laparotomy is useful and effective for the treatment of giant gastroduodenal trichobezoar.
