Trichobezoar in a child with concomitant coeliac disease: a case report.
We report on a case of childhood coeliac disease presenting with tricophagia and trichobezoar. The combination of obstructive symptoms, severe hypoalbuminaemia and a large abdominal mass detected on CT scan warranted diagnostic gastroscopy and laparotomy, resulting in removal of a large gastric trichobezoar. Surgical recovery was uneventful although serologic studies for coeliac disease were abnormal. Coeliac disease was confirmed by subsequent biopsy.


CONCLUSIONS
Concomitant trichobezoar and coeliac disease in a child is reported for the first time. It is postulated that the trichobezoar was a result of coeliac disease-induced pica.
Larsson
L T
LT
Department of Paediatric Surgery, Children's Hospital, Lund, Sweden. lars-torsten.larsson@skane.se
Nivenius
K
K
Wettrell
G
G
D001630:Bezoars / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002446:Celiac Disease / Q000150:complications*; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D010842:Pica / Q000150:complications