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http://dx.doi.org/10.3345/kjp.2009.52.10.1167

A case of gastric trichobezoar causing psychiatric problems  

Seo, Ji Young (Department of Pediatrics, Soonchunhyang University Hospital)
Kim, Min Young (Department of Pediatrics, Soonchunhyang University Hospital)
Noh, Jae Ho (Department of Pediatrics, Soonchunhyang University Hospital)
Kim, Chun Dong (Department of Pediatrics, Soonchunhyang University Hospital)
Park, Jae Ock (Department of Pediatrics, Soonchunhyang University Hospital)
Choi, Gyo Chang (Department of Radiology, Soonchunhyang University Hospital)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.10, 2009 , pp. 1167-1170 More about this Journal
Abstract
Trichobezoar is characterized by the accumulation of hair in the gastrointestinal tract and usually occurs in those who have trichotillomania, other psychiatric disorders, or neurologic problems. Trichobezoar typically presents as gastric obstruction, including abdominal pain, vomiting, anorexia, and weight loss. A 9-year-old girl visited our clinic with the complaint of abdominal discomfort and vomiting. A review of her medical history revealed that she had trichophagia since the age of 5, and she felt that her parents had been strict with her. She underwent gastrotomy, during which a large trichobezoar was removed. This case highlights the importance of psychiatric and comprehensive approaches in patients with trichobezoar.
Keywords
Trichobezoar; Trichophagia; Psychiatric problem;
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1 Bouwer C, Stein DJ. Trichobezoars in trichotillomania: case report and literature overview. Psychosom Med 1998;60:659- 60
2 Gayer G, Jonas T, Apter S, Zissin R, Katz M, Katz R, et al. Bezoars in the stomach and small bowel - CT appearance. Clin Radiol 1999;54:228-32   DOI   ScienceOn
3 Carr JR, Sholevar EH, Baron DA. Trichotillomania and trichobezoar: A clinical practice insight with report of illustrative case. J Am Osteopath Assoc 2006;11:647-52
4 Salaam K, Carr J, Grewal H, Sholevar E, Baron D. Untreated trichotillomania and trichophagia: Surgical emergency in a teenage girl. Psychosomatics 2005;46:362-6   DOI   ScienceOn
5 Assevero VL, Brooks DA, Cardozo WW, Gerson EF. Trichobezoar as an expression of emotional disturbance. AMA J Dis Child 1957;94:668-71   DOI   PUBMED   ScienceOn
6 Bhatia MS, Singhal PK, Rastogi V, Dhar NK, Nigam VR, Taneja SB. Clinical profile to trichotillomania. J Indian Med Assoc 1991;89:137-9   PUBMED   ScienceOn
7 Williams RS. The fascinating history of bezoars. Med J Aust 1986;145:613-4   ScienceOn
8 Bouwer C, Stein DJ. Trichobezoars in trichotillomania: Case report and literature overview. Psychosom Med 1998;60: 658-60   DOI   PUBMED   ScienceOn
9 Diettrich NA, Gau FC. Postgastrectomy phytobezoar - endoscopic diagnosis and treatment. Arch Surg 1985;120:432-5   DOI   ScienceOn
10 ay Y, Levy M, Metry D. Trichotillomania in childhood: case series and review. Pediatrics 2004;113:e494-8   DOI   PUBMED   ScienceOn
11 Andrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol 1988;83:476-8   DOI   PUBMED
12 Christenson GA, Crow SJ. The characterization and treatment of trichotillomania. Clin Psychiatry 1996;57:42-7
13 Ibuowo AA, Saad A, Okonkwo T. Giant gastric trichobezoar in a young female. Int J Surg 2008;6:e4-6   DOI   ScienceOn
14 Osman YM, Wali YA, Osman OM. Craving for ice and iron-deficiency anemia: A case series from Oman. Pediatr Hematol Oncol 2005;22:127-31   DOI   ScienceOn
15 DeBakey M, Ochsner A. Bezoars and concretions: a compulsive review of the literature with analysis of 303 collected cases and a presentation of 8 additional cases. Surgery 1939; 5:132-60
16 Ko SF, Lee TY, Ng SH. Small bowel obstruction due to phytobezoar: CT diagnosis. Abdomen Imag 1997;22:471-3   DOI   ScienceOn