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. 2015 Jul 6;33(3):230-232.
doi: 10.5152/UCD.2015.2994. eCollection 2017.

Closed-perforation of gastric fundus and gastric outlet obstruction caused by a giant gastric trichobezoar: A case report

Bünyamin Gürbulak  1 , Özgür Seğmen  1 , Taşkın Rakıcı  2 , Kenan Büyükaşık  1 , Mazlum Yavaş  1
Affiliations

Closed-perforation of gastric fundus and gastric outlet obstruction caused by a giant gastric trichobezoar: A case report

Bünyamin Gürbulak et al. Turk J Surg. .

Abstract

A bezoar is a mass formed because of the accumulation of indigestible material in the stomach and/or small intestine. Bezoars are rare but occasionally occur with acute abdomen findings. Bezoars form as a result of changes in the gastrointestinal system anatomy and physiology and repetitive exposure to the ingested material. These materials can include vegetables with high fiber content (phytobezoars), non-animal origin fats, hair (trichobezoars), or drugs such as anti-acids (pharmobezoars). Gastric bezoars frequently occur after gastric surgery. Psychiatric disorders such as trichotillomania (an irresistible urge to remove and swallow one's own hair) are frequently the underlying reason in patients without a history of gastric surgery. In this article, we presented a giant gastric trichobezoar obstructing outlet and causing closed-perforation and abscess formation of gastric fundus in a 30-year-old woman.

Keywords: Bezoar; closed-perforation of stomach; gastric outlet obstruction; trichobezoar.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
A giant mass that fills the lumen of the stomach with abscess formation between the stomach and spleen
Figure 2
Figure 2
Computerized tomography appearance in the sagittal sections of the giant mass that fills the stomach lumen
Figure 3
Figure 3
The trichobezoar in the gastric lumen reached via anterior gastrostomy
Figure 4
Figure 4
The giant trichobezoar in the shape of the stomach
See this image and copyright information in PMC

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References

    1. Gurses N, Ozkan K. Bezoars analysis of seven cases. Z Kinderchir. 1987;42:291–292. https://doi.org/10.1055/s-2008-1075605. - DOI - PubMed
    1. Edelstein MM, Freed E, Wexler M. Diospyrobezoar of the jejunum in a post gastrectomy patient. Arch Surg. 1971;103:765–766. https://doi.org/10.1001/archsurg.1971.01350120129026. - DOI - PubMed
    1. Wadlington WB, Rose M, Holcomb GW. Complication of trichobezoars: A 30 year experience. South Med J. 1992;85:1020–1022. https://doi.org/10.1097/00007611-199210000-00024. - DOI - PubMed
    1. Byrme WJ. Foreign bodies, bezoars and caustic ingestion. Gastrointest Endosc Clin North Am. 1994;4:99–144. - PubMed
    1. Tsou JM, Bishop PR, Nowicki MJ. Colonic sunflower seed bezoar. Pediatrics. 1997;99:896–897. https://doi.org/10.1542/peds.99.6.896. - DOI - PubMed

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