title: Giant trichobezoar of duodenojejunal flexure: a rare entity.
abstract: Bezoars are concretions of undigested material in the gastrointestinal tract, most commonly in the stomach. Duodenojejunal localization of bezoars is exceptional. We report a case of a 27-year-old woman who experienced nausea, vomiting and severe abdominal pain for one week. By palpation a mobile and sensitive mass, 15 Chi 15 cm, was detected, which filled the upper quadrant. Results of gastric endoscopy were normal. X-ray and ultrasonography suggested a bezoar. A laparotomy revealed that the jejunum was fissured by the trichobezoar ball. This trichobezoar mass was totally excised by intestinal resection.
  
  
  CONCLUSIONS
  To our knowledge, this is the first reported case of duodenojejunal fissuration caused by trichobezoar in an adult. Among patients with high subocclusif syndrome, duodenojejunal bezoar should remain a possibility in differential diagnosis.
authors.affiliation: Department of Surgery, B, Avicenne, Rabat, Morocco.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Soufi
authors.forename: Said
authors.initials: S
authors.lastname: Benamr
authors.forename: Mehdi
authors.initials: M
authors.lastname: Belhassan
authors.forename: Rahal
authors.initials: R
authors.lastname: Massrouri
authors.forename: Houria
authors.initials: H
authors.lastname: Ouazzani
authors.forename: Bouziane
authors.initials: B
authors.lastname: Chad
mesh_terms: D000328:Adult; D001630:Bezoars / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004386:Duodenum; D005260:Female; D006197:Hair; D006801:Humans; D007583:Jejunum