Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature
We report the unusual case of a 45-year-old woman who presented with multiple episodes of small bowel obstruction. Initial exploratory lap-roscopy did not reveal an etiology of the obstruction. Subsequent upper endoscopy identified a non-obstructing gastric trichobezoar which could not be removed en...
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doaj-0301a7a280ab41608cf293e05098a7582020-11-24T22:26:24ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/217570217570Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the LiteratureNicole G. Coufal0Akash P. Kansagra1Jay Doucet2Jeanne Lee3Raul Coimbra4Vishal Bansal5University of California San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, San Diego, CA 92093, USADepartment of Radiology & Biomedical Imaging, University of California San Francisco, 505 Parnassus Avenue, M-391, San Francisco, CA 94143, USADepartment of Surgery, University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USADepartment of Surgery, University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USADepartment of Surgery, University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USADepartment of Surgery, University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USAWe report the unusual case of a 45-year-old woman who presented with multiple episodes of small bowel obstruction. Initial exploratory lap-roscopy did not reveal an etiology of the obstruction. Subsequent upper endoscopy identified a non-obstructing gastric trichobezoar which could not be removed endoscopically but was not thought to be responsible for the small bowel obstruction given its location. One week postoperatively, the patient experienced recurrence of small bowel obstruction. Repeat endoscopy disclosed that the trichobezoar was no longer located in the stomach and upon repeat laparotomy was extracted from the mid-jejunum. In the following 8 months, the patient had no further episodes of small bowel obstruction. Consequently, gastric bezoars should be included in the differential diagnosis of recurrent small bowel obstruction.http://dx.doi.org/10.1155/2011/217570 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicole G. Coufal Akash P. Kansagra Jay Doucet Jeanne Lee Raul Coimbra Vishal Bansal |
spellingShingle |
Nicole G. Coufal Akash P. Kansagra Jay Doucet Jeanne Lee Raul Coimbra Vishal Bansal Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature Case Reports in Medicine |
author_facet |
Nicole G. Coufal Akash P. Kansagra Jay Doucet Jeanne Lee Raul Coimbra Vishal Bansal |
author_sort |
Nicole G. Coufal |
title |
Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature |
title_short |
Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature |
title_full |
Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature |
title_fullStr |
Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature |
title_full_unstemmed |
Gastric Trichobezoar Causing Intermittent Small Bowel Obstruction: Report of a Case and Review of the Literature |
title_sort |
gastric trichobezoar causing intermittent small bowel obstruction: report of a case and review of the literature |
publisher |
Hindawi Limited |
series |
Case Reports in Medicine |
issn |
1687-9627 1687-9635 |
publishDate |
2011-01-01 |
description |
We report the unusual case of a 45-year-old woman who presented with multiple episodes of small bowel obstruction. Initial exploratory lap-roscopy did not reveal an etiology of the obstruction. Subsequent upper endoscopy identified a non-obstructing gastric trichobezoar which could not be removed endoscopically but was not thought to be responsible for the small bowel obstruction given its location. One week postoperatively, the patient experienced recurrence of small bowel obstruction. Repeat endoscopy disclosed that the trichobezoar was no longer located in the stomach and upon repeat laparotomy was extracted from the mid-jejunum. In the following 8 months, the patient had no further episodes of small bowel obstruction. Consequently, gastric bezoars should be included in the differential diagnosis of recurrent small bowel obstruction. |
url |
http://dx.doi.org/10.1155/2011/217570 |
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