| Autor: |
Oliveira, Sara, Almeida, Sara Isabel de, Batalha, Silvia, Rios, Joana, Oom, Paulo |
| Zdroj: |
Pediatric Oncall Journal; Jul-Sep2024, Vol. 21 Issue 3, p79-81, 3p, 2 Color Photographs, 1 Diagram |
| Abstrakt: |
The new onset of abdominal pain in a constipated patient is usually related to this problem but we should keep in mind differential diagnosis. A 9-year-old girl with history of alopecia, iron deficiency anemia and constipation, presented to the emergency department with colic epigastric pain, anorexia, vomiting, no emission of stools and no fever. She appeared pale and malnourished. The evaluation revealed a painless, hard, palpable mass in the epigastric region. Abdominal ultrasound evaluation was limited by gas trapping. The abdominal CT scan revealed an ileoileal intussusception and a gastric heterogeneous endoluminal mass, identified in the upper gastrointestinal endoscopy as a large trichobezoar, only possible to remove with gastrotomy. Another small bezoar at the jejunal level conditioned intussusception, treated with resection and anastomosis. Trichobezoars are rare in childhood. In most cases, as in this one, it reveals a psychiatric disorder that must be treated to prevent recurrence. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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