Scholarlink

<p>Trichobezoars are rare gastrointestinal masses composed of ingested hair, with Rapunzel syndrome describing gastric trichobezoars extending into the small intestine. Although trichobezoars are often confined to the stomach, detached bezoar fragments causing intestinal obstruction are extremely rare. We describe a 17-year-old female presenting with abdominal pain, vomiting, and constipation. Imaging revealed a large gastric trichobezoar with two detached fragments in the jejunum and ileum, producing small bowel obstruction. Emergency laparotomy with anterior gastrostomy with complete removal of three bezoar masses. Postoperative recovery was uneventful, and psychiatric counselling was initiated. This case highlights the importance of high clinical suspicion, optimal evaluation, timely intervention, and a continued postoperative holistic approach (including psychiatric evaluation) in preventing recurrence of this uncommon but potentially serious condition.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Small Bowel Obstruction Due to Detached Trichobezoar Fragments: a Rarity in a Rare Case

  • 期刊论文

  • 发表日期：

    2025年11月26日

查看全文
  • Ravisankar Palaniappan,
  • Arjun Thayumana Sundaram,
  • Padma Priya Camalarajan ,
  • Jaikishore J,
  • Haripriya R

摘要

Trichobezoars are rare gastrointestinal masses composed of ingested hair, with Rapunzel syndrome describing gastric trichobezoars extending into the small intestine. Although trichobezoars are often confined to the stomach, detached bezoar fragments causing intestinal obstruction are extremely rare. We describe a 17-year-old female presenting with abdominal pain, vomiting, and constipation. Imaging revealed a large gastric trichobezoar with two detached fragments in the jejunum and ileum, producing small bowel obstruction. Emergency laparotomy with anterior gastrostomy with complete removal of three bezoar masses. Postoperative recovery was uneventful, and psychiatric counselling was initiated. This case highlights the importance of high clinical suspicion, optimal evaluation, timely intervention, and a continued postoperative holistic approach (including psychiatric evaluation) in preventing recurrence of this uncommon but potentially serious condition.