4 years institutional experience in the management of Trichobezoar: About 5 Cases

Abstract

Background: Trichobezoar is an uncommon clinical entity in which ingested hair mass accumulates within the digestive tract. Trichobezoars are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). This entity is usually associated with trichotillomania and trichophagia or other psychiatric disorders. It is generally observed in children and young females with psychological disorders. Untreated cases may lead to grave complications. We present our experience with five patients and provide a review of the recent literature. Material and Methods: We retrospectively analysed the clinical data of five patients treated for trichobezoar in pediatric surgery department during 4-year-period between 2018 and 2022. Their medical charts were reviewed with respect to symptoms, diagnostic procedures including any Imaging (abdominal ultrasonography and abdominal computed tomography) or upper GI endoscopy and treatment.