TRICHOBEZOAR: A Retrospective Analysis in Hadoti Region
Journal Title: International Journal of Innovative Research in Medical Science - Year 2017, Vol 2, Issue 11
Abstract
Objective - The surgical removal of a trichobezoar is the rare end complication of the psychiatric disorders trichotillomania and trichophagia. The more severe form of the disease is termed Rapunzel syndrome, where the bezoar extends from the gastric body beyond the pylorus into the duodenum. Most of patients presenting to hospital with symptom of trichobezoar require surgical intervention. Methods - A retrospective review of all cases of trichobezoar at MBS and NMCH hospital, Kota from 2014 to 2016 was performed. Ai m of this study is to analyze demographic data, presenting complaints, imaging, surgical treatment, subsequent management, recurrence and role of psychiatry treatment. Results - All 10 patients were female, ages 12 to 26 years (mean, 18.7 years). Most patients were accurately diagnosed with clinical history, USG abdomen and CECT abdomen. All patients undergone exploratory laparotomy for definitive treatment. At laparotomy, 6 patients were found to have post pyloric extension of the trichobezoar (60%). One case has extension up to terminal part of ileum. There were no other surgical complications or recurrences requiring further exploration. Conclusions - Our series of trichobezoar patients appear to have a high rate of Rapunzel syndrome, and perhaps post pyloric extension should be considered the rule rather than the exception. Our series demonstrates that diagnosis can be established with a thorough history combined with radiography, and treatment should be a combination of laparoscopy and/or laparotomy with psychiatric consultation.
Authors and Affiliations
Dr. Ramgopal Meena, Dr. Vishal Kumar Neniwal, Dr. Akhilesh Meena, Dr. Kshitiz Singh, Dr. Manish Khandelwal
Keywords
Related Articles
- EP ID EP450790
- DOI -
- Views 70
- Downloads 0
Association of Dietary Patterns and CVD Risk Factors in Recently Diagnosed Type 2 Diabetes
Significant association of dietary fat and CVD risk factor in recently diagnosed type-2 Diabetes was observed Aim: To study the association of dietary fat and CVD risk factors in recently diagnosed type-2 Diabetes. Mater...
The Evaluation of Attitude, Knowledge and Practice of Alternative Medicine
Background: Alleviating pains and improving patient's health status are the fundamentals in practice of medicine over many years. Unfortunately, health care providers neglect the use of natural products. The side effects...
High BODE Index Score and Low Albumin Serum Level Identify Patients with Chronic Obstructive Pulmonary Disease (COPD) at Higher Risk for Complications after Major Lung Cancer Resection: A Retrospective Study
Introduction - Lung cancer is significantly more common in patients with chronic obstructive pulmonary disease (COPD) than in those without obstruction. Of note, in COPD patients, who underwent major resection for lung c...
Haemophilic Arthropathy and Pseudotumour in an Elderly Male
Case description - A 62 years old male presented with h/o recurrent episodes of pain and swelling in both knee joints leading to flexion deformity on left side.(Figure1A) He also had a soft tissue swelling in right thigh...
Case Series Report on Clinico-Pathological and Radiological Correlation of Atypical Meningiomas
Aims and Objective: - 1- Study of neuroradiological finding of atypical meningiomas. 2- Correlation of intra operative finding and histopathological diagnosis and prognosis after surgery. Method: - Fourty eight cases of...