Duodenal trichobezoar caused by compression of the superior mesenteric artery.
Trichobezoars can occur in young women who have a history of trichotillomania, trichophagia, gastric dysmotility, and psychiatric dysfunction. A 6-year-old anorexic girl presented with a fixed right-upper-quadrant abdominal mass. Exploratory celiotomy for a duodenal trichobezoar led to removal of the large foreign body, via a duodenotomy, and prompted a Ladd procedure, in which the duodenum was moved from beneath the compressing superior mesenteric artery to relieve underlying duodenal narrowing.
Doski
J J
JJ
Department of Surgery, State University of New York at Stony Brook 11794-8191, USA.
Priebe
C J
CJ
Smith
T
T
Chumas
J C
JC
D001630:Bezoars / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002648:Child; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004386:Duodenum; D005260:Female; D006197:Hair; D006801:Humans; D008638:Mesenteric Arteries / Q000473:pathology*