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Case Reports
. 2010 Jul-Sep;16(3):215-7.
doi: 10.4103/1319-3767.65198.

Giant trichobezoar of duodenojejunal flexure: a rare entity

Mehdi Soufi  1 , Said Benamr, Mehdi Belhassan, Rahal Massrouri, Houria Ouazzani, Bouziane Chad
Affiliations
Case Reports

Giant trichobezoar of duodenojejunal flexure: a rare entity

Mehdi Soufi et al. Saudi J Gastroenterol. 2010 Jul-Sep.

Abstract

Bezoars are concretions of undigested material in the gastrointestinal tract, most commonly in the stomach. Duodenojejunal localization of bezoars is exceptional. We report a case of a 27-year-old woman who experienced nausea, vomiting and severe abdominal pain for one week. By palpation a mobile and sensitive mass, 15 Chi 15 cm, was detected, which filled the upper quadrant. Results of gastric endoscopy were normal. X-ray and ultrasonography suggested a bezoar. A laparotomy revealed that the jejunum was fissured by the trichobezoar ball. This trichobezoar mass was totally excised by intestinal resection.

Conclusion: To our knowledge, this is the first reported case of duodenojejunal fissuration caused by trichobezoar in an adult. Among patients with high subocclusif syndrome, duodenojejunal bezoar should remain a possibility in differential diagnosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Ultrasonography showing a heterogeneous image in the left upper quadrant and mild ascites
Figure 2
Figure 2
Specimen resection of trichobezoar and the fissured resected small bowel segment
See this image and copyright information in PMC

Comment in

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