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Gastric trichobezoar in a 4-year-old female patient with surgical resolution. Case report

By
Freddy Alexander Aldaz Vallejo ,
Freddy Alexander Aldaz Vallejo

Hospital Pediátrico Baca Ortiz, Quito, Ecuador

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Tatiana del Rosario Pérez Landázuri ,
Tatiana del Rosario Pérez Landázuri

Hospital Básico José Miguel Rosillo, Cariamanga, Ecuador

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Devora Estefania Manzano Quisimalin ,
Devora Estefania Manzano Quisimalin

Licenciada en Enfermería, Magister en Enfermería Quirúrgica, Ambato, Ecuador

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Jennifer Carolina Martínez ,
Jennifer Carolina Martínez

Especialista en Cirugía Pediátrica, San Petersburgo, Rusia

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Estefany Elein Bonilla Ortiz ,
Estefany Elein Bonilla Ortiz

Hospital General Alfredo Noboa, Guaranda, Ecuador

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Jhoselyn Misheel Guerrero Ramos ,
Jhoselyn Misheel Guerrero Ramos

Dirección Hospitalaria, Guayaquil, Ecuador

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Abstract

Introduction: Bezoars are indigestible substances that accumulate in the gastrointestinal tract, most often in the stomach. Gastric Trichobezoar (GT) is the most common bezoar found in the stomach. According to their content, bezoars are divided into plant bezoars, capillary bezoars, lactose bezoars and medicinal bezoars. The most common complications reported over the years include gastric mucosal erosion, gastric or small bowel ulceration and perforation, gastric outlet obstruction, intussusception, obstructive jaundice, protein deficiency enteropathy, pancreatitis, and death. The treatment is surgery.
Clinical case: A 4-year-old female patient presents with cough and odynophagia, accompanied by abdominal pain located in the epigastrium, which persists and is exacerbated by movements, does not radiate, is accompanied by an unquantified rise in temperature, imaging studies are performed where it draws attention. Abdominal echo with report of mass at the level of the epigastrium, abdominal x-ray was performed with evidence of levels. They performed a simple abdominal tomography which confirmed the presence of a foreign body in the stomach classified as a bezoar.
Evolution: Exploratory laparotomy + gastrostomy + trichobezoar extraction + gastric raphia was performed, a procedure without complications. Stable patient, without oxygen support, no signs of respiratory distress, tolerates feeding, better pain control, with good post-surgical evolution.
Conclusions: Trichobezoars are extremely rare and pose diagnostic and treatment problems. Although laparoscopy currently seems to have promising results in expert hands, laparotomy remains the most successful surgical treatment. Postoperative psychological treatment is essential to correct patients' psychological and behavioral alterations and prevent their recurrence.

How to Cite

1.
Aldaz Vallejo FA, Pérez Landázuri T del R, Manzano Quisimalin DE, Martínez JC, Bonilla Ortiz EE, Guerrero Ramos JM. Gastric trichobezoar in a 4-year-old female patient with surgical resolution. Case report. Salud, Ciencia y Tecnología [Internet]. 2024 Jan. 3 [cited 2024 Feb. 23];4:716. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/716

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

 

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