Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Jan 21:38:71.
doi: 10.11604/pamj.2021.38.71.27634. eCollection 2021.

[A rare cause of mechanical occlusion in children: a case report]

[Article in French]
Amina Mouffak  1 , Siham Salam  1 , Amine Fahl  1 , Kamilia Chbani  1 , Dalal Laoudiyi  1 , Lahcen Ouzidane  1
Affiliations
Case Reports

[A rare cause of mechanical occlusion in children: a case report]

[Article in French]
Amina Mouffak et al. Pan Afr Med J. .

Abstract
in English, French

Gastrointestinal (GI) bezoars are aggregates of undigested material found in the GI tract. Trichobezoar is the most common type of bezoars and consists of ingested hair, carpet fibers or fitted carpet fibers. They are mainly located in the gastric region, rare forms extend to the duodenum or small intestine and are described as Rapunzel syndrome. Typical CT imaging features play a diagnostic and prognostic role. We report the case of a 13-year-old girl hospitalized for occlusive syndrome due to trichobezoar.

Les bézoards correspondent à la concrétion de substances ingérées non digestibles dans le tractus gastro-intestinal. Le trichobézoard est la forme la plus fréquente des bézoards, et correspond à l'ingestion de cheveux, poils ou fibres de tapis ou moquette. Principalement de localisation intra-gastrique, il existe des formes rares d'extension duodénale ou à l'intestin grêle définies par le syndrome de Rapunzel. L'imagerie notamment scanographique est typique et joue un double rôle diagnostique et pronostique. Nous rapportons le cas d'une enfant âgée de 13 ans hospitalisée pour un syndrome occlusif sur un trichobézoard.

Keywords: Bezoar; Rapunzel syndrome; case report; occlusion.

PubMed Disclaimer

Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'intérêts.

Figures

Figure 1
Figure 1
échographie abdominale: arc hyperéchogène épigastrique générant un cône d'ombre postérieur gênant l'exploration
Figure 2
Figure 2
coupe axiale scanner abdomino-pelvien sans et après injection de PDC: trichobézoard à localisation gastrique avec extension duodénale associé à un KHF de type 1
Figure 3
Figure 3
coupe axiale scanner abdomino-pelvien sans et après injection de PDC: localisation grêlique du trichobézoard: syndrome de Rapunzel
Figure 4
Figure 4
coupe axiale scanner abdomino-pelvien sans et après injection de PDC: occlusion mécanique grêlique en amont de l'obstacle
Figure 5
Figure 5
pièce anatomopathologique du trichobézoard
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Mehta M, Patel RV. Intussusception and intestinal perforations caused by multiple trichobezoars. J Pediatr Surg. 1992 Sep;27(9):1234–1235. - PubMed
    1. Chauhan NS, Kumar S, Bhoil R. Rapunzel Syndrome: Rare Tale of a broken Tail. Pol J Radiol. 2016 Apr;81:166–169. - PMC - PubMed
    1. Ibuowo AA, Saad A, Onkonkowo T. Giant gastric trichobezoar in a young female. Int J Surg. 2008 Dec;6(6):4–6. - PubMed
    1. DeBakey M, Ochsner A. Bezoars and concretions: comprehensive review of literature with analysis of 303 collected cases and presentation of eight additional cases. Surgery. 1939 Jan;5(1):132–160.
    1. Roche C, Guye E, Coinde E, Galambrun C, Glastre C, Halabi M, et al. Trichobézoard: à propos de 5 observations. Arch Pediatr. 2005 Nov;12(11):1608–1612. - PubMed

Publication types