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TITLE:

ANALYSIS OF TRICHOBEZOAR WITH GASTRIC PERFORATION IN A FEMALE POPULATION OF PAKISTAN

AUTHORS:

Dr Shiza Arshad, Dr Abdul Tawab Zia, Dr Shazza Muneer

ABSTRACT:

Introduction: The trichobezoar is a rare medical condition composed of a mass of hair in the proximal gastrointestinal tract, which can cause obstruction, and almost exclusively affects young women. Its prevalence ranges from 0.06% to 4% in the general population. Objectives of the study: The main objective of the study is to analyze the Trichobezoar with Gastric Perforation in a female population of Pakistan. Material and methods: This descriptive study was conducted in Allama Iqbal Memorial Teaching Hospital Sialkot during May 2018 till October 2018. The data was comprising of female population. On examination patient look irritable abdomen was tense and tender on palpation, bowel sounds was absent. Ultrasound shows collection of free fluid in the peritoneal cavity and gas filled bowel loops no visceromegaly, and X-rays abdomen erect and supine shows gas under right dome of diaphragm. There was a past history of C-section and the socioeconomic status was average. Results: An emergency exploratory laparotomy was performed and around two liters of pyoperitoneum was removed. On exploration, a 2×2 cm perforation was identified in the anterior wall of the prepyloric region of stomach. Conclusion: It is concluded that Gastric perforation is a rare complication of gastric trichobezoar formation. Without a history of trichotillomania or trichophagia, or findings on physical examination consistent with hair pulling behavior, one would not readily include this entity on their differential diagnosis of an acute abdomen.

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