Cover Image




Abstract : BackgroundBezoars are conglomerates of food or fiber in the alimentary tract of humans and certain animals, mainly ruminants. In adults, bezoar are most frequently  encountered after gastric operation, but in children bezoars are associated with pica, mental retardation and coexistent psychiatric pathologic disorders (1,2,3). Although the            prevalence of bezoars in humans is low, if treatment is not administered, associated mortality rates may be as high as 30 primarily because of Gastrointestinal bleeding, intestinal  obstruction, ulceration, perforation and peritonitis.This report describes a 16 year old girl with trichotillomania in whom a gastric trichobezoar resulted in failure to gain weight, iron deficiency anemia, and epigastric mass.Case studyWe had a case of pain abdomen and vomiting. On examination stomach was distended. OGD was done. To our surprise gastric trichobezoar was found. Exploratory laparotomy was done and a contiguous trichobezoar cast of stomach and  duodenum was extracted. Patient did well postoperatively and discharged on 10th POD after psychiatric   consultation.ConclusionIn a child with symptoms of Gastric outlet obstruction and upper abdominal mass bezoar should be considered in the differential diagnosis.


Full Text:



Appropriate references are included with in brackets in the text:Sharma RD, Chintamani and Bhatnagar D

-Trichobezoar obstructing the terminal ileum . Trop Dect 2002, 32 : 99-100

Charles Andrus H and Jeffrey Ponsky L

-Bezoars : Classification, Pathophysilogy, and treatment AMJ gastroenteral 1988, 83: 476-478.

Alfred crouch AL and young EA

-Bezoars : when the “knot in the stomach” is real. Postgrad med 1985,78 : 261-5

Sharma V, Sharma ID

-Intestinal trichobezoar with perforation in a child J pediatr surg 1992; 27: 518-9

Wadlington WB, Rose M, Helcomb GW Jr.

-Complications of trichobezoars : a 30 year experience. South med J 1992 : 85 : 1020-2

Goldstein SS, Lewis JH and Rothstein R

- Intestinal obstruction due to bezoars AMJ gastroenteral 1984, 79 : 313-8

Senapati MK and Subramanian S

-Rapunzel syndrome Trop Doct 1997, 27 :53-54

Jensen AR, Trankiem CT, Lebovirah S. Grewal H

- Gastric outlet obstruction secondary to a large trichobezoar J. Pediatr surg 40 :

- 1365

Coulter R. Anthony Mt, Bhuta P. Menon MA

- Large gastric bezoar in a normal healthy women : case report and review of pertinent literature

south med J 98 : 1042-1044

Wang PY, S. Karsgard ED, Baker RJ

- Carpet bezoare obstruction of the small intestine

Philips MR, Zaheer S, Drugas GT.

-Gastric trichobezoar case report and literature review : Mayo clinic proc 1998 ; 73 : 653-656

Pace AP, Fearne C

- trichobezoar in a 13 year old male : a case report and review of literature, maltamed J 2003; 15;


Deslypere JP, Praet M. VerdonKG

- An unusual case of trichobezoar The Rapunzel syndrome, AMJ gastroenteral, 1982; 77: 467-

Sidhu BS, Singh G, Khanna S :

- trichobezoar J Indian med assoc 1993 ; 91 : 100-101

Sharma V

- Gastrointestinal bezoars J. Indian med asso 1991 ; 89 ; 338-339

‘O’ Sullivan MJ, MC Greal G. Walsh JG

- trichobezoar JR soc med 2001; 94 : 68-70.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University