Korean Journal of Pediatrics 2009;52(10):1167-1170.
Published online October 15, 2009.
A case of gastric trichobezoar causing psychiatric problems
Ji Young Seo1, Min Young Kim1, Jae Ho Noh1, Chun Dong Kim1, Jae Ock Park2, Gyo Chang Choi3
1Department of Pediatrics, Soonchunhyang University Hospital, Gumi, Korea
2Department of Pediatrics, Soonchunhyang University Hospital, Bucheon, Korea
3Department of Radiology, Soonchunhyang University Hospital, Gumi, Korea
정신적 문제로 인한 털위석 1례
서지영1, 김민영1, 노재호1, 김춘동1, 박재옥2, 최교창3
1순천향대학교 의과대학 소아과학교실
2순천향대학교 의과대학 소아과학교실
3순천향대학교 의과대학 영상의학과학교실
Abstract
Trichobezoar is characterized by the accumulation of hair in the gastrointestinal tract and usually occurs in those who have trichotillomania, other psychiatric disorders, or neurologic problems. Trichobezoar typically presents as gastric obstruction, including abdominal pain, vomiting, anorexia, and weight loss. A 9-year-old girl visited our clinic with the complaint of abdominal discomfort and vomiting. A review of her medical history revealed that she had trichophagia since the age of 5, and she felt that her parents had been strict with her. She underwent gastrotomy, during which a large trichobezoar was removed. This case highlights the importance of psychiatric and comprehensive approaches in patients with trichobezoar.
Key Words: Trichobezoar, Trichophagia, Psychiatric problem


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