Small Intestinal Obstruction Secondary to Jejunal Trichobezoar Removed Per Anum Without an Enterotomy: A Case Report

Trichobezoars can rarely present with obstruction. This is usually due to collection of a hair ball in the stomach. We encountered an interesting case of small bowel obstruction due to a jejunal trichobezoar. The treatment generally is an enterotomy with removal of the hair ball. We report a case...

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Bibliographic Details
Main Authors: Devbrata Radhikamohan Adhikari, Siddharth Vankipuram, Ajeet Ramamani Tiwari, Aniruddha Prabhakar Chaphekar, Ritesh Suresh Satardey
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5694/11529_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG).pdf
Description
Summary:Trichobezoars can rarely present with obstruction. This is usually due to collection of a hair ball in the stomach. We encountered an interesting case of small bowel obstruction due to a jejunal trichobezoar. The treatment generally is an enterotomy with removal of the hair ball. We report a case of a 29-year-old post partum female who presented to us with sub acute intestinal obstruction. Exploratory laparotomy revealed an impacted mass in the distal jejunum which was removed per anum without an enterotomy. Postoperative gastroscopy did not show trichobezoar in the stomach. This case highlights the importance of trichobezoar as a differential diagnosis in young women with small bowel obstruction that can be treated without an enterotomy and avoiding the risks and morbidities associated with it.
ISSN:2249-782X
0973-709X