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- W2979133069 abstract "Trichobezoars are rare occurrences, seen primarily in young females with trichophagia. Reported complications include obstruction, bleeding, perforation, and pancreatitis. Our patient, a 23 y/o female 18 weeks pregnant, was admitted for two days of epigastric pain. Postprandial vomiting had been present for two months. There was no history of alcohol use or pancreatitis. She appeared depressed with flat affect. A 10 cm firm mass was palpable in the epigastrum. Initial serum lipase was 3672 IU/L, liver enzymes were normal. Ultrasound revealed an intraluminal gastric mass; the gallbladder and bile ducts were normal. MRI study confirmed the presence of a large gastric mass suspicious for bezoar. Separate intraluminal matter was present throughout the duodenal sweep. The pancreas appeared normal. On further questioning, the patient admitted to twirling, pulling and ingesting her hair. Upper endoscopy revealed a large, hard foreign body with obvious hair, diagnostic of trichobezoar (Fig. 1). Small ulcerations were present in the stomach, and separate hair accumulations were seen in the duodenum. Endoscopic removal was not feasible. Total parental nutrition was begun; serum lipase decreased to normal after four days. At exploratory laparotomy, the trichobezoar contoured the stomach outline, and was removed through an anterior gastrotomy (Fig. 2). An enterotomy was performed to remove the duodenal bezoar. Pathology showed the gastric bezoar composed primarily of hair; small fragments of decorative tinsel, paper and plastic were also present. The patient recovered uneventfully and fluoxetine was administered for trichotillomania and trichophagia. This is the first reported case of gastric trichobezoar presenting as acute pancreatitis during pregnancy. [figure 1][figure 2]Figure 1Figure 2" @default.
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- W2979133069 date "2006-09-01" @default.
- W2979133069 modified "2023-09-26" @default.
- W2979133069 title "Gastric Trichobezoar Presenting as Acute Pancreatitis during Pregnancy" @default.
- W2979133069 doi "https://doi.org/10.14309/00000434-200609001-00838" @default.
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