Maira Maqsood Alam, Prince Naeem, Rizwan Ahmed Khan.
Gastric Trichobezoar; A Cause Of Intermittent Obstruction Of Small Bowel: A Case Report And Literature Review.
Isra Med J Jan ;8(4):266-8.

Bezoar is basically a collection of indigestible in the gastrointestinal tract. Psychiatric disorders, Trichotillomania i.e. habit of pulling ones hair and trichophagia i.e. habit of chewing/engulfing the common causes of therefore developing gastric trichobezoar. Trichobezoar has been described very well in the surgical/diagnostic literature, as compared in psychiatry. The diagnosis of Trichobezoar is completely based on imagiologic evidence. Literature revealed a number of treatment modalities including endoscopy, laparoscopy, and laparotomy. We report the case of a large trichobezoar that occurs in a 23-year-old female who had trichotillomania presented with colicky epigastric pain, nausea, postprandial vomiting, and weight loss. The trichobezoar was removed surgically. It is crucial to treat comorbid accompanied this disorder with a psychiatric consultation along with surgical treatment.

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