title: Simultaneous gastric and small intestinal trichobezoars.
abstract: Bezoars are conglomerates of food or fiber in the alimentary tract of humans and certain animals, mainly ruminants. A trichobezoar represents a mass of accumulated hair. Trichobezoars may present as an isolated gastric mass, as an extension into the small intestine, or as an independent fragmented mass in the small intestine. The presence of discrete coexisting gastric and ileal trichobezoars has been reported only rarely in the literature. This is a case report of a 9-year-old girl presenting with small-bowel obstruction secondary to synchronous trichobezoars in the stomach and ileum. The case highlights the role of imaging and importance of complete evaluation of the gastrointestinal tract at the time of surgical evacuation.
authors.affiliation: Department of Imaging Sciences, Division of Pediatric Surgery, University of Rochester Medical Center, Rochester, NY 14642-8648, USA. ajay_malhotra@urmc.rochester.edu
authors.forename: Ajay
authors.initials: A
authors.lastname: Malhotra
authors.forename: Luann
authors.initials: L
authors.lastname: Jones
authors.forename: George
authors.initials: G
authors.lastname: Drugas
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D001630:Bezoars / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013270:Stomach; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome