title: A hairy situation: trichobezoar presenting with intussusception, and intestinal and biliary perforation in a child.
abstract: Trichobezoars are an uncommon cause of acute abdominal pain. We present a case of a 12-year-old girl with a history of a trichobezoar who presented to the emergency department with acute abdominal pain. Abdominal sonography was performed which suggested portal venous gas and showed complex peritoneal fluid. Subsequent computed tomography demonstrated both gastric and small bowel bezoars, with a jejunojejunal intussusception, and confirmed portal venous gas and complex ascites. At the time of surgery, there was evidence of intestinal and biliary perforation. Our case illustrates a constellation of complications in association with a long-standing trichobezoar.
authors.affiliation: Department of Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
authors.forename: Akshay D
authors.initials: AD
authors.lastname: Baheti
authors.affiliation: Department of Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Otjen
authors.affiliation: Department of Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
authors.forename: Grace S
authors.initials: GS
authors.lastname: Phillips
keywords: Biliary perforation; Intestinal perforation; Intussusception; Trichobezoar