Abstract

RAPHAEL, L  and  GEORGIOU, E. Trichobezoar - a rare cause of gastric perforation. S. Afr. j. surg. [online]. 2025, vol.63, n.2, pp.88-90. ISSN 2078-5151.  https://doi.org/10.36303/SAJS.01406.

This report describes a rare case of a gastric trichobezoar complicated by gastric perforation in a 14-year-old female. The patient presented with severe abdominal pain and vomiting. Computer tomography (CT) scan showed a pneumoperitoneum with a large trichobezoar in the stomach and free intra-abdominal fluid. The patient underwent an emergency laparotomy, where a perforation on the lesser curve of the stomach was detected and a large trichobezoar that was occupying the entire stomach was removed. Histology confirmed a benign gastric ulcer most likely resulting from pressure necrosis due to the bezoar.

Keywords : gastric perforation; trichobezoar; bezoar.

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