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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.

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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

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