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Case Report
Laparotomic removal of large gastric trichobezoar in a 14-year-old patient
1 College of Medicine and Life Sciences, University of Toledo Medical Center, Toledo, Ohio, USA
2 Pediatric Gastroenterology, ProMedica Russell J. Ebeid Children’s Hospital, Toledo, Ohio, USA
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Katelin Eing
3000 Arlington Ave, Toledo, Ohio 43614,
USA
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Article ID: 100011Z19KE2021
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Eing K, Banerjee S, Kumar R. Laparotomic removal of large gastric trichobezoar in a 14-year-old patient. J Case Rep Images Pediatr 2021;3:100011Z19KE2021.ABSTRACT
A 14-year-old female presented with abdominal pain and intermittent vomiting. An upper gastrointestinal (GI) study showed a large trichobezoar extending to the duodenum, causing duodenal obstruction. Upper endoscopy was initially attempted, but the bezoar could not be removed without potential disruption of the esophagus. Surgical removal was conducted via exploratory laparotomy with gastrostomy, and the patient was discharged five days post-op for outpatient follow-up. Gastric trichobezoar occurs commonly in adolescent patients and, in cases of large and far-extending masses, often need removal with laparotomy. Outpatient psychiatric follow-up is encouraged to prevent relapse.
Keywords: Laparotomy, Rapunzel syndrome, Trichobezoar, Trichotillomania
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Acknowledgments
The contribution of the patient whose clinical information is used in the article is acknowledged.
Author ContributionsKatelin Eing - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sanjoy Banerjee - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rakesh Kumar - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Katelin Eing et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
