[Giant trichobezoar in the stomach coexisting with pregnancy: a case report].
OBJECTIVE
Bezoars are conglomerates of undigested material in the stomach. Gastrointestinal obstructions caused by bezoars are uncommon but are encountered with increasing frequency in general surgery.


METHODS
In this case report, authors describe a trichobezoar in the stomach in 23 years old woman which was found and removed during caesarean section. The caesarean section was made in 30 week of pregnancy on account of placental abruption.


RESULTS
The patient was admitted to Department of Gynecology & Obstetrics in Hospital of Słupsk in emergency service with diagnosis in second pregnancy. Doctor on duty decided immediate caesarean section on account of haemorrhage from genital tract caused by placental abruption. Female newborn weight 850 g received 5 points in Apgar scale was delivered. Next, during laparotomy was found tumor inside stomach and gastrotomy was done. The giant trichobezoar could be removed from the stomach only by surgical management. In anamnesis we found out that the woman has suffered from trichotillomania and trichophagia from childhood. The chronically swallowed hair and nail pieces an enormous trichobezoar which nearly filled the whole stomach. The possible causes of bezoar formation, the diagnostic and therapeutic problems are discussed.
Studziński
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Oddziału Połozniczo-Ginekologicznego Samodzielnego Publicznego Wojewódzkiego Szpitala Zespolonego w Słupsku.
Grzybowski
Z
Z
D000328:Adult; D001630:Bezoars / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D013270:Stomach