Tricobezoar gástrico

Bezoar is a foreign body in the digestive tract originated from ingestion of varied substances, mainly vegetal hair or coats, staple fibers among others. We present a case of a 16-year-old female with trichotillomania history of approximately 5 months, diagnosed through clinical evidence of traumatic alopecia made by her dermatologist. Though asymptomatic the presence of tricobezoar was suspected and confirmed through digestive seriography and high digestive endoscopy. The patient was operated on for gastrotomy and removal of bezoar, with good postoperative follow-up, except for surgical wound infection.

Úlcera gástrica terebrante e pancreatite aguda provocadas por tricobezoar

Bezoar is a foreing body whitin the digestive tract originated from ingestion of varied substances, mainly vegetal fiber or hair. We present a case of a 14-year-old girl with trichotillomania, gastric trichobezoar, gastric ulcer and acute pancreatitis. The patient was operated on for anterior gastrotomy and removal of trichobezoar, with good postoperative follow-up. We illustrate this case to emphasize the need for recognition of gastric ulcer with acute pancreatitis and surgical management.