2019 Volume 55 Issue 6 Pages 1087-1090
The patient was 3-year-old girl who was admitted to a hospital owing to abdominal pain and vomiting, which was suspected as gastroenteritis. She was transferred to our department because a structure with a netlike appearance and containing air was observed in the duodenum by abdominal CT, suggesting ileus caused by a trichobezoar. The trichobezoar in the duodenum migrated to the intestine, resulting in intestinal obstruction, and the patient received gastric decompression using a gastric tube and fluid resuscitation in preparation for surgery. After we confirmed by endoscopy that there was no trichobezoar remaining in the stomach, a small incision was made at the umbilicus, the jejunum containing the trichobezoar was pulled out, and the trichobezoar was taken out through an incision on the intestinal wall. The postoperative course was uneventful, and the patient was discharged on day 8 after consulting with the psychiatric department. Our patient was the youngest case of intestinal obstruction by a trichobezoar in the literature. We achieved a safe and less invasive surgical treatment, and the course of the patient suffering from trichobezoar was unique.
