title: Small intestinal obstruction secondary to jejunal trichobezoar removed per anum without an enterotomy: a case report.
abstract: Trichobezoars can rarely present with obstruction. This is usually due to collection of a hair ball in the stomach. We encountered an interesting case of small bowel obstruction due to a jejunal trichobezoar. The treatment generally is an enterotomy with removal of the hair ball. We report a case of a 29-year-old post partum female who presented to us with sub acute intestinal obstruction. Exploratory laparotomy revealed an impacted mass in the distal jejunum which was removed per anum without an enterotomy. Postoperative gastroscopy did not show trichobezoar in the stomach. This case highlights the importance of trichobezoar as a differential diagnosis in young women with small bowel obstruction that can be treated without an enterotomy and avoiding the risks and morbidities associated with it.
authors.affiliation: Assistant Professor, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, India .
authors.forename: Devbrata Radhikamohan
authors.initials: DR
authors.lastname: Adhikari
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, India .
authors.forename: Siddharth
authors.initials: S
authors.lastname: Vankipuram
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, India .
authors.forename: Ajeet Ramamani
authors.initials: AR
authors.lastname: Tiwari
authors.affiliation: Associate Professor, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, India .
authors.forename: Aniruddha Prabhakar
authors.initials: AP
authors.lastname: Chaphekar
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, India .
authors.forename: Ritesh Suresh
authors.initials: RS
authors.lastname: Satardey
keywords: Acute abdominal pain; Bezoars; Rapunzel syndrome