Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry

Camara Fode Lansana; Balde Abdoulaye Korse; Camara Soriba Naby; Balde Habiboulaye; Diakite Saikou Yaya; Balde Oumar Taibata; Toure Ibrahima; Balde Thierno Mamadou; Diallo Amadou Dioulde; Camara Alpha Kabine; Doumbouya Bourlaye; Toure Aboubacar; Diallo Aissatou Taran; Diallo Biro

doi:doi:10.11648/j.js.20210901.15

Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry

Camara Fode Lansana, Balde Abdoulaye Korse, Camara Soriba Naby, Balde Habiboulaye, Diakite Saikou Yaya, Balde Oumar Taibata, Toure Ibrahima, Balde Thierno Mamadou, Diallo Amadou Dioulde, Camara Alpha Kabine, Doumbouya Bourlaye, Toure Aboubacar, Diallo Aissatou Taran, Diallo Biro

Published in Journal of Surgery (Volume 9, Issue 1)

Received: 21 December 2020 Accepted: 11 January 2021 Published: 2 February 2021

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Abstract

The aim of this is to make our contribution to the study of Gastrointestinal trichobezoard Introduction: The digestive bezoar is a conglomerate of indigestible substances trapped in the gastrointestinal tract. Aim: The aim was to report an exceptional case of a gastrointestinal trichobezoard revealed by acute intestinal obstruction by ileo-ileal intussusception and to discuss it with data from the literature. Methodology This was a 7-year-old girl who was referred to us from the Nutritional Institute at Donka National Hospital. She presented paroxysmal abdominal pain, vomiting, anorexia and physical asthenia without notion of gas stoppage, evolving for four months. On examination, the patient was in poor general condition with sunken eyeballs. The abdomen was the site of an epigastric mass, mobile and painful. The digital rectal examination noted an emptiness of the rectal bulb. The biological assessment revealed hyperleukocytosis (11.8giga/l); normochromium-normocytic anemia (10g/l). Abdominal ultrasound showed prominent images of distended loops, with material stasis, forming a mass syndrome consistent with a reducible and unstable invagination coil. The diagnosis of acute intussusception was ultrasound. Surgery confirmed intussusception, which was secondary to the entrapment of a trichobezoar in the gastrointestinal lumen. Intestinal disinvagination and extraction of trichobezoar by gastrotomy was the indication. Results the operative consequences were simple. Conclusion: Trichobezoar is a rare condition and the preoperative diagnosis difficult when the notion of trichophagia has not been mentioned. Its treatment is surgical, its prevention requires regular monitoring and psychiatric care.

Published in	Journal of Surgery (Volume 9, Issue 1)
DOI	10.11648/j.js.20210901.15
Page(s)	27-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Intussusception, Trichobezoar, Surgery

References

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[2]	Anurag Tiwary, Pragati Singhal, Nida khan, Pramod tiwary Trichobezoars: a hairy cause of intestinal obstruction April 2020 International Surgery Journal 7 (5): 1658 DOI: 10.18203/2349-2902.isj20201900.
[3]	Maryame Ezziti, Fouad Haddad, Mohamed Tahiri, Wafaa Hliwa, Ahmed Bellabah, Wafaa Badre, Rabii Haddouch, Khalid El Hattbi, Mohamed Rachid Elfriyekh, et Abdelaziz Fadil Trichobezoard gastrique à propos d’un cas dans le service de gastroentérologie CHU ibn Roch Casablanca, Pan Afr Med J. 2017; 26: 74. DOI: 10.11604/pamj.2017.26.74.11826.
[4]	Masaya Iwamuro, Hiroyuki Okada, Kazuhiro Matsueda, Tomoki Inaba, Chiaki Kusumoto, Atsushi Imagawa et Kazuhide Yamamoto. Examen du diagnostic et de la gestion des bézoards gastro-intestinaux. World J Gastrointest Endosc. 16 avril 2015; 7 (4): 336–345.
[5]	Lilia Ben Hassine, Imen Menif, Lilia. Lahmar, Hela Louati, Wiem. Douira, Ibtissem BellaghaUne cause rare de masse épigastrique: bézoard gastro-duodénal l tunisie Medicale - 2015; Vol 93 (n°08 ): 491-493.
[6]	Ertuğrul G, Coşkun M, Sevinç M, Ertuğrul F, Toydemir T. Traitement de phytobézoïdes gastriques avec Coca-Cola administré par voie orale: à propos d'un cas. Int J Gen Med. 2012; 5: 157–161.
[7]	Yakan S, Sirinocak A, Telciler KE, Tekeli MT, Deneçli AG. Une cause rare d'abdomen aigu: obstruction de l'intestin grêle due au phytobézoard. Ulus Travma Acil Cerrahi Derg. 2010; 16: 459–463.
[8]	Kisra M., Azzouzi I., Saadi M., Ettayebi F., Benhamou M.; Invagination Intestinale Aigüe Causée Par Un Trichobézoard Médecine du Maghreb 2001 n°8.
[9]	Islam Nour, Mona Abd Alatef, Ahmed Megahed Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature Paediatrics and international child health, 2017 https://doi.org/10.1080/20469047.2017.1389809
[10]	E. Chahine R. Baghdady N. El Kary M. Dirani M. Hayek E. Saikaly E. Chouillard; Surgical treatment of gastric outlet obstruction from a largetrichobezoar: A case report International Journal of Surgery Case Reports.
[11]	Smith RE, Rait JS, Said A, et al Management of a trichobezoar caused by consumption of artificial hair extensions BMJ Case Reports CP 2020; 13: e232720.
[12]	Hamed Alwadaani, Abdaljaleel S. Abualsaud, Abdullah S. Alqattan, Mahmoud Machmouchi, Ahmed elserougi Trichobezoar: A Bizarre Gastric Obstruction CASE REPORT Chirurgia 2019 February; 32 (1): 48-50 DOI: 10.23736/S0394-9508.18.04860-X.
[13]	Alaoui A, Akammar A, Haloua M, Alami B, Boubbou M, Maaroufi M, Alaoui Lamrani Y. Atlas D'imagerie Des Occlusions Intestinales Aigues Mecaniques De Cause Inhabituelle Et Commune, Service de radiologie, CHU HASSAN II, Fes, Maroc. Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853.

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APA Style

Camara Fode Lansana, Balde Abdoulaye Korse, Camara Soriba Naby, Balde Habiboulaye, Diakite Saikou Yaya, et al. (2021). Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. Journal of Surgery, 9(1), 27-30. https://doi.org/10.11648/j.js.20210901.15

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ACS Style

Camara Fode Lansana; Balde Abdoulaye Korse; Camara Soriba Naby; Balde Habiboulaye; Diakite Saikou Yaya, et al. Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. J. Surg. 2021, 9(1), 27-30. doi: 10.11648/j.js.20210901.15

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AMA Style

Camara Fode Lansana, Balde Abdoulaye Korse, Camara Soriba Naby, Balde Habiboulaye, Diakite Saikou Yaya, et al. Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. J Surg. 2021;9(1):27-30. doi: 10.11648/j.js.20210901.15

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@article{10.11648/j.js.20210901.15,
  author = {Camara Fode Lansana and Balde Abdoulaye Korse and Camara Soriba Naby and Balde Habiboulaye and Diakite Saikou Yaya and Balde Oumar Taibata and Toure Ibrahima and Balde Thierno Mamadou and Diallo Amadou Dioulde and Camara Alpha Kabine and Doumbouya Bourlaye and Toure Aboubacar and Diallo Aissatou Taran and Diallo Biro},
  title = {Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry},
  journal = {Journal of Surgery},
  volume = {9},
  number = {1},
  pages = {27-30},
  doi = {10.11648/j.js.20210901.15},
  url = {https://doi.org/10.11648/j.js.20210901.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210901.15},
  abstract = {The aim of this is to make our contribution to the study of Gastrointestinal trichobezoard Introduction: The digestive bezoar is a conglomerate of indigestible substances trapped in the gastrointestinal tract. Aim: The aim was to report an exceptional case of a gastrointestinal trichobezoard revealed by acute intestinal obstruction by ileo-ileal intussusception and to discuss it with data from the literature. Methodology This was a 7-year-old girl who was referred to us from the Nutritional Institute at Donka National Hospital. She presented paroxysmal abdominal pain, vomiting, anorexia and physical asthenia without notion of gas stoppage, evolving for four months. On examination, the patient was in poor general condition with sunken eyeballs. The abdomen was the site of an epigastric mass, mobile and painful. The digital rectal examination noted an emptiness of the rectal bulb. The biological assessment revealed hyperleukocytosis (11.8giga/l); normochromium-normocytic anemia (10g/l). Abdominal ultrasound showed prominent images of distended loops, with material stasis, forming a mass syndrome consistent with a reducible and unstable invagination coil. The diagnosis of acute intussusception was ultrasound. Surgery confirmed intussusception, which was secondary to the entrapment of a trichobezoar in the gastrointestinal lumen. Intestinal disinvagination and extraction of trichobezoar by gastrotomy was the indication. Results the operative consequences were simple. Conclusion: Trichobezoar is a rare condition and the preoperative diagnosis difficult when the notion of trichophagia has not been mentioned. Its treatment is surgical, its prevention requires regular monitoring and psychiatric care.},
 year = {2021}
}

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TY - JOUR
T1 - Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry
AU - Camara Fode Lansana
AU - Balde Abdoulaye Korse
AU - Camara Soriba Naby
AU - Balde Habiboulaye
AU - Diakite Saikou Yaya
AU - Balde Oumar Taibata
AU - Toure Ibrahima
AU - Balde Thierno Mamadou
AU - Diallo Amadou Dioulde
AU - Camara Alpha Kabine
AU - Doumbouya Bourlaye
AU - Toure Aboubacar
AU - Diallo Aissatou Taran
AU - Diallo Biro
Y1 - 2021/02/02
PY - 2021
N1 - https://doi.org/10.11648/j.js.20210901.15
DO - 10.11648/j.js.20210901.15
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 27
EP - 30
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20210901.15
AB - The aim of this is to make our contribution to the study of Gastrointestinal trichobezoard Introduction: The digestive bezoar is a conglomerate of indigestible substances trapped in the gastrointestinal tract. Aim: The aim was to report an exceptional case of a gastrointestinal trichobezoard revealed by acute intestinal obstruction by ileo-ileal intussusception and to discuss it with data from the literature. Methodology This was a 7-year-old girl who was referred to us from the Nutritional Institute at Donka National Hospital. She presented paroxysmal abdominal pain, vomiting, anorexia and physical asthenia without notion of gas stoppage, evolving for four months. On examination, the patient was in poor general condition with sunken eyeballs. The abdomen was the site of an epigastric mass, mobile and painful. The digital rectal examination noted an emptiness of the rectal bulb. The biological assessment revealed hyperleukocytosis (11.8giga/l); normochromium-normocytic anemia (10g/l). Abdominal ultrasound showed prominent images of distended loops, with material stasis, forming a mass syndrome consistent with a reducible and unstable invagination coil. The diagnosis of acute intussusception was ultrasound. Surgery confirmed intussusception, which was secondary to the entrapment of a trichobezoar in the gastrointestinal lumen. Intestinal disinvagination and extraction of trichobezoar by gastrotomy was the indication. Results the operative consequences were simple. Conclusion: Trichobezoar is a rare condition and the preoperative diagnosis difficult when the notion of trichophagia has not been mentioned. Its treatment is surgical, its prevention requires regular monitoring and psychiatric care.
VL - 9
IS - 1
ER -

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Author Information

Camara Fode Lansana

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Balde Abdoulaye Korse

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Camara Soriba Naby

Department of Visceral Surgery Friendship Hospital Sino-Guinean of Kipe Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Balde Habiboulaye

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Diakite Saikou Yaya

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Balde Oumar Taibata

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Toure Ibrahima

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Balde Thierno Mamadou

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Diallo Amadou Dioulde

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Camara Alpha Kabine

Department Thoracic Surgery, Donka National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Doumbouya Bourlaye

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Toure Aboubacar

Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Diallo Aissatou Taran

Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Diallo Biro

Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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APA Style

Camara Fode Lansana, Balde Abdoulaye Korse, Camara Soriba Naby, Balde Habiboulaye, Diakite Saikou Yaya, et al. (2021). Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. Journal of Surgery, 9(1), 27-30. https://doi.org/10.11648/j.js.20210901.15

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ACS Style

Camara Fode Lansana; Balde Abdoulaye Korse; Camara Soriba Naby; Balde Habiboulaye; Diakite Saikou Yaya, et al. Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. J. Surg. 2021, 9(1), 27-30. doi: 10.11648/j.js.20210901.15

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AMA Style

Camara Fode Lansana, Balde Abdoulaye Korse, Camara Soriba Naby, Balde Habiboulaye, Diakite Saikou Yaya, et al. Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry. J Surg. 2021;9(1):27-30. doi: 10.11648/j.js.20210901.15

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@article{10.11648/j.js.20210901.15,
  author = {Camara Fode Lansana and Balde Abdoulaye Korse and Camara Soriba Naby and Balde Habiboulaye and Diakite Saikou Yaya and Balde Oumar Taibata and Toure Ibrahima and Balde Thierno Mamadou and Diallo Amadou Dioulde and Camara Alpha Kabine and Doumbouya Bourlaye and Toure Aboubacar and Diallo Aissatou Taran and Diallo Biro},
  title = {Gastrointestinal Trichobezoard Revealed by Intussusception at the University Hospital of Conakry},
  journal = {Journal of Surgery},
  volume = {9},
  number = {1},
  pages = {27-30},
  doi = {10.11648/j.js.20210901.15},
  url = {https://doi.org/10.11648/j.js.20210901.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210901.15},
  abstract = {The aim of this is to make our contribution to the study of Gastrointestinal trichobezoard Introduction: The digestive bezoar is a conglomerate of indigestible substances trapped in the gastrointestinal tract. Aim: The aim was to report an exceptional case of a gastrointestinal trichobezoard revealed by acute intestinal obstruction by ileo-ileal intussusception and to discuss it with data from the literature. Methodology This was a 7-year-old girl who was referred to us from the Nutritional Institute at Donka National Hospital. She presented paroxysmal abdominal pain, vomiting, anorexia and physical asthenia without notion of gas stoppage, evolving for four months. On examination, the patient was in poor general condition with sunken eyeballs. The abdomen was the site of an epigastric mass, mobile and painful. The digital rectal examination noted an emptiness of the rectal bulb. The biological assessment revealed hyperleukocytosis (11.8giga/l); normochromium-normocytic anemia (10g/l). Abdominal ultrasound showed prominent images of distended loops, with material stasis, forming a mass syndrome consistent with a reducible and unstable invagination coil. The diagnosis of acute intussusception was ultrasound. Surgery confirmed intussusception, which was secondary to the entrapment of a trichobezoar in the gastrointestinal lumen. Intestinal disinvagination and extraction of trichobezoar by gastrotomy was the indication. Results the operative consequences were simple. Conclusion: Trichobezoar is a rare condition and the preoperative diagnosis difficult when the notion of trichophagia has not been mentioned. Its treatment is surgical, its prevention requires regular monitoring and psychiatric care.},
 year = {2021}
}

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