Mixed gastrojejunal bezoar - case report
DOI:
https://doi.org/10.24859/SaberDigital.2024v17n1.1491Keywords:
Gastrojejunal bezoar, Diagnosis, Treatment, BezoarAbstract
Introduction: Bezoar is an indigestible mass in the gastrointestinal tract, with the presence of different components, normally confined in the stomach. It is commonly associated with anatomophysiological changes in the stomach and psychiatric disorders such as trichotillomania and trichophagia. The upper digestive endoscopy is the most specific test for diagnosis. The treatment is surgical. Case report: A 17-year-old woman presented epigastric pain for approximately 6 months, with progressive worsening, associated with an episode of vomiting and weight loss of 13 kg in 4 months. The diagnosis was presumed by clinical history and abdominal computed tomography and confirmed by surgery. Discussion: Bezoars commonly occur in women and patients under the age of 30 years. The clinical history and physical examination are often nonspecific, it is necessary to use of imaging methods and especially upper digestive endoscopy to elucidate the diagnosis. The treatment can be obtained by dissolution, endoscopic removal, laparoscopy, and preferably laparotomy. In the post-operative, the multidisciplinary monitoring, with family engagement, is essential to prevent recurrence. Conclusion: In the present case, the diagnosis was made based on abdominal computed tomography and confirmed by exploratory laparotomy, which was also the treatment method for removing the bezoar. The post-operative follow-up took place in the General Surgery and Psychiatry outpatient clinics.
Downloads
References
AHMED, MM et al.Large trichobezoar associated with misdiagnosis, a rare case report with a brief literature review. International Journal of Surgery Case Reports, v. 88, p. 106551, 2021. DOI: https://doi.org/10.1016/j.ijscr.2021.106551
AL-MULLA, AE et al. Successful laparoscopic extraction of trichobezoar due to Rapunzel Syndrome: first reported case in Kuwait. Journal of Surgical Case Reports, v. 2021, n. 12, p. 532, 2021. DOI: https://doi.org/10.1093/jscr/rjab532
ASLAM, Met al. Surgical treatment of gastric outlet obstruction from a large gastroduodenal trichobezoar: acasereport. Journal of Surgery &Anesthesia Research. SRC/JSAR-146, v. 3, n. 2, p. 22, 2022.
BEN-KHALIFA, M et al. Trichobezoar: A case report of a double gastric and ileal localization revealed by an occlusion. International Journal of Surgery Case Reports,v. 91,doi: 10.1016/j.ijscr.2022.106782, 2022. DOI: https://doi.org/10.1016/j.ijscr.2022.106782
DE BARROS, EMMAH; CALDEIRA, AP; GOMES, CHR; JORGE, ASB.Tricobezoar gástrico: relato de um caso. RevMed Minas Gerais, v. 17, n. 1, p. 60-3, 2007.
DE SOUZA,RS et al. Obstrução intestinal associada a tricobezoares de grande volume: um relato de caso. Revista Eletrônica Acervo Saúde, n. 20, p. e544, 2019. DOI: https://doi.org/10.25248/reas.e544.2019
HEWITT, NA; LEVINE MS; RUBESIN, SE; LAUFER I. Gastricbezoars: reassessmentofclinicalandradiographicfindings in 19 patients. Br. J. Radiol.,n.82, p. 901-7, 2009. DOI: https://doi.org/10.1259/bjr/15256968
IWAMURO, M et al. Review of the diagnosis andmanagement of gastrointestinal bezoars. World J GastrointestEndosc, n. 7, v. 4, p. 336-345, 2015. DOI: https://doi.org/10.4253/wjge.v7.i4.336
KHAN, S et al. Upper gastrointestinal manifestation of bezoars and the etiological factors: a literature review. Gastroenterology Researchand Practice, v. 2019, Article ID 5698532, 13 pages https://doi.org/10.1155/2019/5698532, 2019. DOI: https://doi.org/10.1155/2019/5698532
LADAS, SD et al. Systematic review: Coca-Cola can effectively dissolve gastric phytobezoars as a first-line treatment. Alim Pharm Ther,v.37, p. 169-173, 2013. DOI: https://doi.org/10.1111/apt.12141
LAGRANDEUR, W; ZUKOWSKI, M. Large Trichobezoar in School-Aged Girl Presenting to the Emergency Department with Hematemesis. JournalofEmergency Medicine, v. 61, n. 6, p. e167-e169, 2021. DOI: https://doi.org/10.1016/j.jemermed.2021.07.040
LOJA OROPEZA, D; ALVIZURI, J; VILCA, M; SÁNCHEZ, M. Síndrome de Rapunzel: tricobezoar gastroduodenal. An. Fac. Med. (Perú), v. 64, n. 1, p. 71 – 77, 2003. DOI: https://doi.org/10.15381/anales.v64i1.1427
NAIK, S et al. Rapunzel syndrome reviewed and redefined. Dig Surg.v. 24, n. 3, p. 157-61, 2007. DOI: https://doi.org/10.1159/000102098
PATEL, TP et al. Trichobezoarcausingmalnutrition. International Journal of Contemporary Pediatrics, v. 9, n. 4, p. 1, 2022.
PIRES, HFM;DOS SANTOS, AR; Furtado, WS. Tricobezoar gástrico: relato de 3 casos clínicos/ Gastrictrichobezoar: reportof 3 clinical cases. Brazilian Journal of Development, v. 6, n. 12, p. 97403–97414, 2020. DOI: https://doi.org/10.34117/bjdv6n12-290
UZUNOGLU, MY et al. Treatment results of small bowel perforations due to unusual causes. Pak J Med Sci. v. 34, n. 4, p. 974–9, 2018. DOI: https://doi.org/10.12669/pjms.344.14808
SILVEIRA, HJV et al. Tricobezoar gigante: relato de caso e revisão da literatura. ABCD ArqBrasCirDig v. 25, n. 2, p. 135-136,2012. DOI: https://doi.org/10.1590/S0102-67202012000200016
SPADELLA, CT; SAAD-HOSSNE, R; SAAD LHC. Tricobezoar gástrico: relato de caso e revisão da literatura. Acta Cir Bras. v. 13, n. 2, https://doi.org/10.1590/S0102-86501998000200008, 1998. DOI: https://doi.org/10.1590/S0102-86501998000200008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Saber Digital
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Declaração de Direito Autoral
Autores que publicam na Revista Saber Digital concordam com os seguintes termos:
Os autores mantêm os direitos e cedem à revista o direito à primeira publicação, simultaneamente submetido a uma licença Creative Commons que permite o compartilhamento por terceiros com a devida menção ao autor e à primeira publicação pela Revista Saber Digital.
Os autores podem entrar em acordos contratuais adicionais e separados para a distribuição não exclusiva da versão publicada da obra (por exemplo, postá-la em um repositório institucional ou publicá-la em um livro), com o reconhecimento de sua publicação inicial na Revista Saber Digital.
Este obra está licenciado com uma Licença https://creativecommons.org/licenses/by-nc/4.0/
