How do you diagnose trichobezoar?
Trichobezoar is a rare condition, usually diagnosed in children and young female especially with psychiatric illness. Diagnosis of trichbezoar is usually dependent on the disease history, examination, diagnostic modality including CT scan. Generally this condition can be treated by endoscopy, laparoscopy or laparotomy.
What is a trichobezoar?
Abstract. Trichobezoars are hairballs or hair-like fibers formed by chewing and swallowing hair or any other indigestible materials. Trichobezoars usually form in the gastric body and are thus prepyloric.
Can ultrasound detect bezoar?
Although ultrasound has less sensitivity and specificity in detecting bezoars as compared with CT, it still can reveal bezoars in 88% of patients. Some case reports have addressed the role of sonographic detection of small intestinal phytobezoar.
Can bezoar be seen on xray?
When the bezoar is small it is difficult to diagnose through plain X-ray, furthermore they can be confused with abscesses or faeces if located in the colon. Sonography: intraluminal hyperechoic mass with convex surface and marked shadowing is suggestive of bezoar.
What causes trichobezoar?
What are the Causes of Trichobezoars? Trichobezoar or an indigestible hair mass in the abdomen results from the accidental or involuntary ingestion of hair. One of the main causes of trichobezoars is the psychiatric condition of trichotillomania.
What does a trichobezoar look like?
Trichobezoars. Trichobezoars consist of an aggregation of hair and foodstuff and are black, regardless of the patient’s hair color, due to the denaturing of hair protein by gastric acid (Fig. 29.1). The hair is usually the patient’s own, although hair from animals, carpet, or toys is occasionally recovered.
Why is it called Rapunzel syndrome?
Rapunzel syndrome is an extremely rare intestinal condition in humans resulting from ingesting hair (trichophagia). The syndrome is named after the long-haired girl Rapunzel in the fairy tale by the Brothers Grimm. Trichophagia is sometimes associated with the hair-pulling disorder trichotillomania.
What happens if you have a bezoar?
Bezoars can cause lack of appetite, nausea, vomiting, weight loss and a feeling of fullness after eating only a little food. Bezoars can also cause gastric ulcers, intestinal bleeding and obstruction, leading to tissue death (gangrene) in a portion of the digestive tract.
How do I get rid of Trichobezoar?
The standard surgical procedure for removal of trichobezoar is laparotomy, opening of stomach and removing the mass of Trichobezoar. It however requires a large surgical incision, a big opening in stomach, increased risk of complications, long hospital stay and a bad scar on the abdomen.
How do I know if I have bezoars?
Symptoms of Bezoars Most bezoars do not completely block the digestive tract and thus cause no symptoms. However, people may feel very full after eating a normal-sized meal and may have nausea, vomiting, and pain. People may also lose their appetite and lose weight.
What foods cause Bezoars?
Phytobezoars are composed of indigestible food fibers, such as cellulose. These fibers occur in fruits and vegetables, including celery, pumpkin, prunes, raisins, leeks, beets, persimmons and sunflower-seed shells.