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Case Reports
. 2023 Mar 24;15(3):e36651.
doi: 10.7759/cureus.36651. eCollection 2023 Mar.

All Tangled Up: Meter-Long Gastric Trichobezoar Causing Multiple Intussuscepting Points in an Adult

Daniel Jia Wei Lee  1 , Kang Ler Fong  1 , Yeow Chun Tee  1 , Oscar B Aldridge  1
Affiliations
Case Reports

All Tangled Up: Meter-Long Gastric Trichobezoar Causing Multiple Intussuscepting Points in an Adult

Daniel Jia Wei Lee et al. Cureus. .

Abstract

Gastric trichobezoars are a result of trichophagia secondary to trichotillomania, and can result in severe complications such as perforation or intussusception. We present the case of a 19-year-old female with multiple points of intussusception secondary to a large gastric/small intestine trichobezoar and describe our approach to diagnosis and eventual removal of the bezoar.

Keywords: gastroscopy; gastrotomy; intussusception; trichobezoar; trichophagia.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Ultrasound scan six years prior (aged 13) demonstrating target sign characteristic of intussusception
Figure 2
Figure 2. CT scan demonstrating multiple intussuscepting points. Red: Gastroduodenal intussusception. Yellow: Multiple separate jejuno-jejunal intussusception points
Figure 3
Figure 3. Gastroscopy views. A: Head of trichobezoar in stomach. B: Most distal view of gastroscope demonstrating continuation of tail of trichobezoar into jejunum
Figure 4
Figure 4. Completely intact removal of trichobezoar measuring 1m
See this image and copyright information in PMC

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