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Case Report
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| Surgical extraction of a giant trichobezoar: A rare presentation | ||||||
| Ayad Ahmad Mohammed1, Sardar Hassan Arif1, Reber Haji Qadir2, Abdulwahid M. Salih3, Fahmi Hussein Kakamad4 | ||||||
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1University of Duhok, College of Medicine, Department of General Surgery, Duhok, Kurdistan Region, Iraq 2Azadi Teaching Hospital, Azadi Gastroenterology & Endoscopy Center, Duhok, Kurdistan Region, Iraq 3University of Sulaimani, College of Medicine, Department of General surgery, Sulaimani, Kurdistan Region, Iraq 4Kscien Organization, Hamdi Str. Azadi mall,Sulaimani, Kurdistan Region, Iraq | ||||||
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| How to cite this article |
| Mohammed AA, Arif SH, Qadir RH, Salih AM, Kakamad FH. Surgical extraction of a giant trichobezoar: A rare presentation. Int J Case Rep Images 2018;9:100929Z01AM2018. |
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ABSTRACT
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Introduction: Trichobezoar occurs when a trichotillomanic patient eats his or her hair after extraction leading to surgical emergency. The aim of this study is to report a case of giant trichobezoar presenting as a abdominal mass and underwent surgical extraction Case Report: A 14-year-old girl with anorexia, epigastric pain and loss of weight for three month duration. The patient reported history of early satiety and constipation. Abdominal examination showed a palpable, firm, mass in the left hypochondrium. Blood examination revealed hypochromic microcytic anemia with hemoglobin. Computed tomography scan of the abdomen demonstrated intragastric mass with concentric rings with air in between the rings. Endoscopy showed that the stomach was filled with a hairball mixed with food particles that occupy the whole gastric cavity. Through an upper midline incision, a gastrostomy done and the hair ball was extracted. The stomach was closed in double layers using continuous Vicryl and interrupted silk sutures. Post-operative period was uneventful. Conclusion: Trichobezoar is a very rare disorder which may lead to surgical emergency. Keywords: Hair, Trichobezoar, Trichotillomania |
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Author Contributions
Ayad Ahmad Mohammed – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Sardar Hassan Arif – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Reber Haji Qadir – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Abdulwahid M. Salih – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Fahmi Hussein Kakamad – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published |
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Guarantor of Submission
The corresponding author is the guarantor of submission. |
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Source of Support
None |
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Consent Statement
Written informed consent was obtained from the patient for publication of this case report. |
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Conflict of Interest
Author declares no conflict of interest. |
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Copyright
© 2018 Ayad Ahmad Mohammed et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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