title: [Recurrent distal ileal obstruction by a trichobezoar in a 5-year-old child].
abstract: The diagnosis of trichobezoar can be difficult, due to its low prevalence in the pediatric population, limited knowledge of behavioral disorders in children and their prevention, and the difficulty of the clinical diagnosis. We report a case of intestinal occlusion in a 5-year-old child, whose diagnosis was delayed and the trichobezoar, revealed intraoperatively, confined 15cm from the ileocecal valve. Diverging management strategies are proposed in the literature concerning the indication of CT for diagnostic and prognostic purposes, and fibroscopy, still considered as the diagnostic reference. Surgical exploration can lead to the final diagnosis. Bowel obstruction requires emergency surgery to avoid intestinal complications and must be followed by psychological therapy to limit recurrence.
authors.affiliation: Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France. Electronic address: ceaux.elodie@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Ceaux
authors.affiliation: Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Binet
authors.affiliation: Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Francois-Fiquet
authors.affiliation: Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Lefebvre
authors.affiliation: Service de chirurgie pédiatrique, American Memorial Hospital, 47, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: M-L
authors.initials: ML
authors.lastname: Poli-Merol
mesh_terms: D001630:Bezoars / Q000150:complications*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D012008:Recurrence