Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2010  |  Volume : 16  |  Issue : 3  |  Page : 215-217

Giant trichobezoar of duodenojejunal flexure: A rare entity


1 Department of Surgery, B, Avicenne, Rabat, Morocco
2 Department of Gastroenterology, B, Morocco

Correspondence Address:
Mehdi Soufi
6 Rue al Kharroub Secteur 16 Riad, Rabat
Morocco
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.65198

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Bezoars are concretions of undigested material in the gastrointestinal tract, most commonly in the stomach. Duodenojejunal localization of bezoars is exceptional. We report a case of a 27-year-old woman who experienced nausea, vomiting and severe abdominal pain for one week. By palpation a mobile and sensitive mass, 15 Χ 15 cm, was detected, which filled the upper quadrant. Results of gastric endoscopy were normal. X-ray and ultrasonography suggested a bezoar. A laparotomy revealed that the jejunum was fissured by the trichobezoar ball. This trichobezoar mass was totally excised by intestinal resection. Conclusion: To our knowledge, this is the first reported case of duodenojejunal fissuration caused by trichobezoar in an adult. Among patients with high subocclusif syndrome, duodenojejunal bezoar should remain a possibility in differential diagnosis.


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