Year 2012 Vol. 20 No 2

PRACTICAL CASES

M.M. YELOVOY, V.G. BOROZNA, A.A. KUKHTAREV, T.E. RAZUMOVA

STOMACH AND SMALL INTESTINE TRICHOBEZOARS IN CHILDREN

ME Mogilev regional hospital,
The Republic of Belarus

The article analyzes rare observations of giant stomach trichobezoars in girls of 12, 14 years of age and the small intestine trichobezoars in a 7-year old child. The possibilities of ultrasound examination, fibrogastroduodenoscopy (FGDS) and radiological studies in the diagnostics of the given pathology are presented. Attention is paid that trichotillomania (2 cases) may be the cause of the given pathology development. The peculiarities of surgical treatment are described and the necessity of the hospital observation of the given category of patients with the obligatory annual FGDS during a 3-year period is indicated.

Keywords: trichobezoar, trichotillomania, diagnostics, treatment
p. 96 100 of the original issue
References

1. Pitkevich AE, Shmakov AP, Zuev NN, Zuev NI. Gigantskii trikhobezoar zheludka i tonkoi kishki u rebenka 8 let [Giant hairball of the stomach and small intestine in a child of 8 years old]. Novosti Khirurgii. 2009;17(2):17476.
2. Tsuman VG, Shcherbina VI, Semilov EA, i dr. Trikhobezoary zheludochno-kishechnogo trakta u detei [Hairballs of the gastrointestinal tract in children]. Det Khirurgiia. 2000;(4):5254.
3. Sokolov IuIu, Davidov MI. Bezoary zheludochno-kishechnogo trakta u detei [Bezoar of the gastrointestinal tract in children]. Pediatriia. 2010;89(2):6065.
4. Cataliotti F, Livoti C, Di Pace. M. Esophageal achalasia and hypertrophic pyloric stenosis associated with a phytobezoar in an adolescent. J Pediatr Surg. 2002 Sep;37(9):136364.
5. Grigovich IN. Redkie khirurgicheskie zabolevaniia pishchevaritel'nogo trakta u detei [Rare surgical diseases of the digestive tract in children]. Leningrad, RF; 1985. p. 15359.
7. Pitkevich AE, Shmakov AP, Zuev NN., Zuev NI. Trikhobezoar zheludka i tonkoi kishki u rebenka [Hairball of the stomach and small intestine in a child]. Det Khirurgiia. 2010;(1):4849.
8. Carr JR, Sholevar EN, Baron DA. Trichotillomania and trichobezoar: a clinical practice insight with report of illustrative case. J Am Osteopath Assoc. 2006 Nov;106(11):64752.
9. Sapozhnikov VG, Kulikov VA, Shabalin VA, i dr. Vozmozhnosti diagnostiki bezoarov u detei [Diagnosis of bezoar in children]. Ros Pediatr Zhurn. 2001;(4):5153.

Address for correspondence:
212026, Respublika Belarus', g. Mogilev, ul. B.-Biruli, d.12, UZ Mogilevskaia oblastnaia bol'nitsa, detskoe khirurgicheskoe otdelenie,
e-mail: m.elovi@mail.ru,
Yelovoy Mikhail Makarovich
Information about the authors:
Yelovoy M.M., a pediatric surgeon of children's surgical department of ME "Mogilev Regional Hospital.
Borozna V.G., an endoscopist, endoscopy department of ME "Mogilev Regional Hospital.
Kukhtarev A.A., a head of children's surgical department of ME "Mogilev Regional Hospital.
Razumova T.E., a pediatric surgeon of children's surgical department of ME "Mogilev Regional Hospital.
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