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TL;DR
This case report details the presentation and management of a 13-year-old girl with acute large bowel obstruction due to a giant colonic trichobezoar.
JPGN Reports · 9 authors, 3 centres
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This case report details the presentation and management of a 13-year-old girl with acute large bowel obstruction due to a giant colonic trichobezoar.
This case report details the presentation and management of a 13-year-old girl with acute large bowel obstruction due to a giant colonic trichobezoar. Initial conservative management for suspected constipation failed. Explorative laparoscopy revealed a distended colon with a caliber leap at the rectosigmoid junction, leading to a simultaneous colonoscopy. A giant trichobezoar was identified and successfully removed endoscopically using a snare and colonic washout. The patient recovered well and was discharged the next day with a neuropsychiatric referral. The report highlights the rarity of primary colonic trichobezoar obstruction and presents laparo-endoscopic management as a feasible, less invasive therapeutic option.