Introduction. Trichobezoars are foreign bodies in gastrointestinal tract,
composed of hair. They occur mainly in children and adolescents suffering
from trichotillophagia. They commonly occur in the stomach, but as they
enlarge over time, they can extend through the pylorus into distal parts of
the small intestine resembling a tail. This rare form of trichobezoar is
named Rapunzel syndrome. Case report. We presented a 19-year-old female
patient, who suffered from trichotillomania and trichotillophagia, which led
to trichobezoar formation. Intra-abdominal tumour was suspected after initial
clinical examination. Abdominal echosonography, endoscopy and abdominal
computed tomography (CT scan) in the pre-operational period revealed
trichobezoar formation. The patient was operated on and subjected to further
psychiatric treatment. Conclusion. Trichobezoar should be differentially
diagnostically taken into consideration in younger women with abdominal pain,
nausea, vomiting, palpable abdominal mass and psychiatric disorders. Most
trichobezoar cases require surgical treatment, whereas the patients need
long-term psychiatric treatment and monitoring.
Resection and Abdominal Wall Reconstruction of a Desmoid Tumor with Endometrioma Features
