title: Small bowel volvulus with a jejunal trichobezoar.
abstract: BACKGROUND
  Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children.
  
  
  METHODS
  An 8-year-old girl with abdominal pain and persistent bilious vomiting.
  
  
  METHODS
  The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar.
  
  
  RESULTS
  Satisfactory recovery after surgery.
  
  
  CONCLUSIONS
  Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.
authors.affiliation: Departments of Pediatrics and *Surgery, KEPCO Medical Center, Seoul, Republic of Korea. Correspondence to: Dr Ky Young Cho, Department of Pediatrics, KEPCO Medical Center, 308, Uicheon-ro, Dobong-gu, Seoul, Republic of Korea. choky96@hanmail.net.
authors.forename: Ky Young
authors.initials: KY
authors.lastname: Cho
authors.forename: Dong Ho
authors.initials: DH
authors.lastname: Shim
authors.forename: Kyung Tak
authors.initials: KT
authors.lastname: Yoo
mesh_terms: D001630:Bezoars; D002648:Child; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus; D007579:Jejunal Diseases; D007583:Jejunum / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography