Tricobezoar Gástrico por Abordaje Mínimamente Invasivo

Abstract

Introduction: Trichobezoar is a mass of undigested hair that is frequently found in the gastric chamber, but can be located throughout the gastrointestinal tract. Clinical case: We present the case of an adolescent who had a 3-day illness characterized by constant colicky abdominal pain of moderate intensity in the epigastrium, nausea and vomiting of gastric alimentary content on 6 occasions. On examination, a mass was palpated in the epigastrium. A CT scan revealed a hypodense and heterogeneous image that occupied the entire stomach, compatible with a foreign body. An exploratory laparoscopy is performed where the gastric trichobezoar is evidenced. Discussion: Early diagnosis and treatment of gastric trichobezoar are key to avoid possible serious complications. The minimally invasive approach is a therapeutic option that allows rapid discharge of the patient without complications, and a multidisciplinary approach using psychiatric services is important to manage the underlying disease.