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Category: Volume 13 Issue 04 April 2025
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Title: Isolated Jejunal Trichobezoar Causing Perforation – A Case Report

Authors: Thulasi Bhai Amma Preethi, Sunil S Menon, Manjuladevi Earanna

 DOI: https://dx.doi.org/10.18535/jmscr/v13i04.06

Abstract

Background- Trichobezoar is a rare condition caused by ingestion of hair which gets accumulated and forms a mass that cause obstruction and very rarely perforation.

Methods - We report the rare case of a 6 year old girl who presented severe abdominal pain and distension for 3 days, vomiting for 2 days and obstipation for 1 day. Investigations revealed jejunal obstruction with contained perforation due to trichobezoar and was successfully treated with surgery.

Conclusion- Trichobezoars should be considered as a differential diagnosis if there is typical clinical presentation in a girl. With a high level of suspicion, prompt diagnosis and treatment, trichobezoars have a good prognosis.

Keywords: Intestinal Obstruction, Jejunal Perforation, Laprotomy, Trichobezoar, Trichophagia.

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Corresponding Author

Dr Sunil S Menon

Professor, Department of Paediatric Surgery, Government Medical College Trivandrum