Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
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
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.

Keywords: Tomography, X-ray, Trichobezoar, Trichotillomania, Trichophagia, Case report

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.