Perfuração gástrica secundária a tricobezoar gigante: descrição de caso e revisão da literatura

• Main Authors: Clementino Zeni Neto, Júlio Cezar Uili Coelho, Antonio Carlos Ligocki Campos, Osvaldo Malafaia, Paolo Rogério de Oliveira Salvalaggio
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Bezoars-complication; Intestinal perforation; Gastrostomy
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911998000200015&lng=en&tlng=en

Gastric bezoars are impactations offoreign material in lhe stomach. When they are caused by hail; they are named tricho- bezoars. The complications oftrichobezoars are very rare. In this papel; we describe a case of a 16-year-old girl that had a previous history oftricophagia, and had an acute abdominal pain with a pneumoperitoneum in the abdomen radiography. An operation was performed and a gastric perforation was founded associated with a giant trichobezoa7: The trichobezoar was removed by traction through a gastrostomy which was performed in order to remove lhe trichobezoa7: Some fragments of the ulcer were obtained to histological study. The gastrostomy was treated by a gastrorraphy confection. In lhe post- operative period a left subfrenic abscess was revealed and has been drained by laparatomy 15 days after the fisrt operation. After the second surgical procedure the patient had a good evolution, and left the hospital in good health conditions.