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KMID : 0605920100160010043
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Journal of Korean Association of Pediatric Surgeons
2010 Volume.16 No. 1 p.43 ~ p.48
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Laparoscopic Removal of a Gastric Trichobezoar in an 8-Year-Old Girl: a Case Report
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Choi Gyu-Seog
Choe Byung-Ho
Park Jin-Young
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Abstract
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Gastric trichobezoars are commonly observed in young women with trichotillomania and trichophagia. We encountered an 8-year-old girl who had trichotillomania and trichophagia with abdominal pain and a mass, which was diagnosed as a large gastric trichobezoar. On physical examination, a huge, firm nontender mobile mass was palpated in her epigastrium. An upper gastrointestinal series and abdominal computed tomography (CT) scan showed a large mass in the stomach. Endoscopic removal was tried but failed. Laparoscopic removal was therefore performed. The trichobezoar was successfully retrieved through a gastrotomy and removed through an extended umbilical trocar incision. This case demonstrates that laparoscopic removal of large gastric trichobezoars is feasible and safe without a large abdominal incision.
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KEYWORD
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Trichobezoar, Girl, Laparoscopic removal
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