Case report: Trichobezoar

Authors

  • Jorge Alberto Diaz Gonzales Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS
  • Ingrid Gabriela Reyes Zúniga *Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS https://orcid.org/0009-0004-6003-4955
  • Misael Pineda Santos Médico especialista psiquiatra Infanto Juvenil

Keywords:

Trichobezoar, Rapunzel Syndrome, Adolescent

Abstract

We report the case of a female adolescent admitted to Mario Catarino Rivas Hospital in San Pedro Sula with a history of trichophagia for 5 years. She was admitted with a history of epigastric abdominal pain of about 3 months of evolution with occasional nausea and regurgitation of food together with a weight loss of approximately 6 kilograms in the last 3 months. The patient was admitted, studies were completed, and a diagnosis of gastric trichobezoar was made. Subsequent supraumbilical laparotomy was performed to access the stomach and a gastrostomy was performed in the antrum about 6 cm in length through which the bezoar was extracted in its en tirety. The gastrotomy was subsequently closed.

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Author Biographies

Jorge Alberto Diaz Gonzales , Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics,18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23,44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9. https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

Ingrid Gabriela Reyes Zúniga, *Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics,18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23,44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9. https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

Misael Pineda Santos , Médico especialista psiquiatra Infanto Juvenil

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics, 18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23, 44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9.https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

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Published

2025-12-10

How to Cite

Diaz Gonzales , J. A., Reyes Zúniga, I. G., & Pineda Santos , M. (2025). Case report: Trichobezoar. Acta Pediátrica Hondureña, 12(2), 1283–1285. Retrieved from https://www.camjol.info/index.php/PEDIATRICA/article/view/21103

Issue

Vol. 12 No. 2 (2021): Non-occupational Post-exposure Prophylaxis for HIV

Section

Clinical Cases