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Topic: Trichobezoar

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Hairball

Trichophagia

Rapunzel syndrome

Pica (disorder)

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	PCA volume 10 number 4/1
		The combination of a gastric hairball and a hairtail in the jejunum is known as the Rapunzel syndrome.
		Trichobezoars are generally found in emotionally disturbed, mentally retarded or depressed patients.
		As far as we are aware, this is the second child described in literature with an obstructive pancreatitis caused by a trichobezoar.
	home.tiscali.nl /staalman/PCA/pca11_1/pca11_1_4.html (587 words)

	Rapunzel syndrome - Wikipedia, the free encyclopedia
		It is named after the beautiful long-haired character Rapunzel in the fairy tale by the Brothers Grimm.
		The body of a trichobezoar (hairball) located in the stomach, and its tail in the small bowel and/or in the right colon
		As the human gastrointestinal tract is unable to digest human hairs, the trichobezoar usually has to be treated surgically.
	en.wikipedia.org /wiki/Rapunzel_syndrome (165 words)

	MUSC Digestive Disease Center - Case Studies
		Trichobezoars are an occupational hazard in wool workers and brush makers.
		Trichobezoars are usually found in patients with pica, mental retardation, or serious psychiatric illnesses such as trichotillomania.
		Trichobezoars, diospyrobezoars, and some of the other miscellaneous bezoars are often too hard to respond to conservative measures and require surgical management.
	www.ddc.musc.edu /ddc_pro/pro_development/case_studies/case040.htm (2760 words)

	Article : Images - Gastric Trichobezoar ; Author : NARINDER K KAUSHIK ; Co-Author(s) : YASH P SHARMA, ASHA NEGI, AMAL ... (Site not responding. Last check: 2007-10-24)
		Though most of the gastric bezoars occur as a complication of gastric or ulcer surgery, gastric bezoars may also be seen in the normal stomach as a result of ingestion of various objects which do not pass through the pylorus such as hair, prune pits, plastic, paper, string or cotton.
		Trichobezoars are formed from hair, either of the patient, other humans or animals and are an occupational hazard in brushmakers, blanket weavers and wool workers [1].
		Trichobezoars are comparatively rare in children, whereas lactobezoars have become more common in infants.
	www.ijri.org /articles/archives/19990903/images01.htm (865 words)

	A bezoar is a mass of foreign material in the stomatch and intestine of man... (Site not responding. Last check: 2007-10-24)
		A case of recurrent trichobezoar requiring reoperation is reported because of its rarity.
		The incidence of trichobezoar in TTM is unclear.
		Trichobezoars may present with abdominal pain,nausea,vomiting,weakness,loss of weight(as seen in our patient) and may be complicated by obstruction,ulceration,perforation and peritonitis.
	www.indegene.com /Ped/ClinRound/indPedCase21.html (851 words)

	The Rapunzel syndrome (Trichobezoar) (Site not responding. Last check: 2007-10-24)
		Its characteristics are: 1) the body of a trichobezoar located in the stomach, and its tail in the small bowel and/or in the right colon, 2) small or large bowel obstruction, 3) occurring in psychiatric patients and, 4) trichophagia.
		We have added an additional patient, who was submitted to our hospital with diagnosis of abdominal mass, who, during his work-up was found with the above mentioned characteristics.
		The patient underwent a exploratory celiotomy, gastrotomy, and the trichobezoar was removed.
	www.imbiomed.com.mx /Gastro/Gav62n4/english/Zga74-9.html (91 words)

	Bioline International Official Site (site up-dated regularly)
		Bezoars are commonly found in the stomach though occasionally, trichobezoars can have a tail that extends through the pylorus into the proximal duodenum.
		The Bezoar most commonly encountered is the Trichobezoar which is almost exclusively seen in young females, often associated with psychiatric problems.
		Trichobezoars are usually fl from denaturation of protein by acid, glistening from retained mucus and foul smelling from degradation of food residue trapped within it
	www.bioline.org.br /request?jp00025 (859 words)

	An intragastric trichobezoar: computerised tomographic appearance. Morris B, Shah Z, Shah P J Postgrad Med
		They can be broadly classified as[1]: trichobezoars (hair ball), phytobezoars (food ball) and miscellaneous (pharmacobezoar, seeds of fruits, lactobezoar).
		The description of the first authentic case of human trichobezoars was in 1779[2].
		Trichobezoars are usually fl from denaturation of protein by acid, glistening from retained mucus and foul smelling from degradation of food residue trapped within it[3].
	www.jpgmonline.com /article.asp?issn=0022-3859;year=2000;volume=46;issue=2;spage=94;epage=5;aulast=Morris (863 words)

	Medline ® Abstract for Reference 4~5~6 of 'Gastric bezoars'
		The Rapunzel syndrome, found characteristically in girls with varying gastrointestinal symptoms, is a rare form of gastric trichobezoar extending throughout the bowel.
		The Rapunzel syndrome (trichobezoar) causing gastric perforation in a child: a case report.
		The Rapunzel syndrome (RS), is a rare form of gastric trichobezoar extending throughout the bowel.
	www.utdol.com /application/abstract.asp?TR=gi_dis/11353&viewAbs=4~5~6&title=4-6 (283 words)

	[No title]
		Presentation could be in the form of trichophagy followed by trichobezoar (swallowing of hair leading to formation of bezoar) and orphytobezoar (swallowing of vegetable fibres).
		Trichobezoars are formed by swallowed hair, they are rare, and occur often in patients with some psychiatric ailment (
		Duodenal trichobezoar caused by compression of the superior mesenteric artery.
	www.ispub.com /ostia/index.php?xmlPrinter=true&xmlFilePath=journals/ijs/vol6n2/kehr.xml (1138 words)

	Bezoar - Evanston Northwestern Healthcare
		A barium swallow X-ray will show the mass in the stomach, sometimes a scope if used (endoscopy) to directly visualize the bezoar.
		The bezoar may need to be surgically removed (especially trichobezoars which tend to be large).
		Sometimes small bezoars can be removed through a scope placed through the mouth and into the stomach (similar to an EGD procedure).
	www.enh.org /healthandwellness/encyclopedia/ency/article/001582.aspx (337 words)

	Indian Pediatrics - Letters to the Editor
		The child was finally diagnosed to have severe pica compli-cated with trichobezoar, with steroid toxicity and with probably nephrotic syndrome in remission.
		Although anthropometrically she had malnutrition, which could, to some extent be due the current illness, the protracted steroid therapy and the effect of the trichobezoar, she did not have anemia or any other common associated deficiencies and nutritional factors thus do not appear to have primary role.
		It appears that the steroid therapy, through its effects on appetite and mood, was conducive to her adventure of eating hair, which was available in plenty around and ultimately ended up in development of a trichobezoar.
	www.indianpediatrics.net /aug2001/aug-929-931.htm (878 words)

	Trichobezoar - a condition to think of in case of mobile abdominal mass
		More than two hundred cases of trichobezoars have been described in literature and they comprise 55% of all bezoars.2 Clinical manifestations resulting from the presence of a gastric trichobezoar depend upon individual tolerance, personality type, the degree of gastric irritation, the production of complications and associated lesions.
		DeBakey and Ochsner noted that about 90% of patients with trichobezoars were female with a peak incidence in second decade.
		Cases of trichobezoars should be seen as ones who have some underlying emotional stress leading to trichophagy.
	neurosurgery.mgh.harvard.edu /fellows/qureshi/Trichobezoar.htm (531 words)

	Unsuspected Trichobezoar in a Child with Short Hair -- Konen et al. 176 (1): 258 -- American Journal of Roentgenology
		Unsuspected Trichobezoar in a Child with Short Hair -- Konen et al.
		Trichobezoars usually occur in young girls who swallow their
		10 cm trichobezoar was evacuated from a jejunal loop, 50 cm
	www.ajronline.org /cgi/content/full/176/1/258 (461 words)

	Medline ® Abstract for Reference 24~25 of 'Gastric bezoars' (Site not responding. Last check: 2007-10-24)
		The authors describe a patient in whom the diagnosis was made prior to conventional barium studies and in whom the question of trichobezoar had not been raised clinically.
		We report two young girls with gastric trichobezoars in whom ultrasound, computed tomography and upper gastrointestinal contrast studies were done.
		Since sonography and, less frequently, computed tomography are usually the first studies obtained in a child with an abdominal mass it is important to recognize the rather distinctive appearance of a trichobezoar on these images.
	www.utdol.com /application/abstract.asp?TR=gi_dis/11353&viewAbs=24~25&title=24,25 (133 words)

	Herpes Encepahalitis, a Ct Scan Teaching file, Radiology world.com
		A large filling defect (Whorl type) in the stomach and extend to duodenum and jejunum as smooth filling defect.
		Trichobezoars are composed of hair balls typically seen in young women.
		90 % trichobezoars are occur in female with 80% in people under age 30
	www.radiologyworld.com /Ctscan-tricho.htm (62 words)

	Trichophagia and Trichobezoar's
		Trichobezoars can sometimes be found to cause blockage of the digestive system, especially at the exit of the stomach.
		As in the case of a British teenager whom died shortly after being admitted to the hospital for a stomach ache.
		The clinical symptoms of a trichobezoar vary considerably from person to person, and the size and position of the trichobezoar in the intestines
	www.trichotillomaniahelp.com /1/trichophagia.html (129 words)

	VDIC - Radiology Case of the Week - August 13, 2001
		The gastric opacity is consistent with a trichobezoar or other soft tissue gastric foreign body.
		In a cat expected causes are a trichobezoar, fibrous material secondary to "wool sucking" behavior, or other compacted textile foreign body.1 The opacity has a similar appearance to trichobezoars reported in rabbits.
		Carpenter J. Trichobezoars and gastric stasis in rabbits In: Bonagura J, ed.
	www.vdic.com /casedatabase/cases/081301/diag.asp (334 words)

	Peer Reviewed Pediatric Radiology Case : Pedrad :: Rapunzel syndrome grade I° due to trichobezoar -- The peer reviewed ... (Site not responding. Last check: 2007-10-24)
		Most common are phytobezoars, which consist of undigestable plant material (cellulose, lignine), the second most common form are trichobezoars, which are usually due to trichophagia (eating of hair) combined with a psychological illness (trichotillomania).
		Because of the size and consistency of the bezoar, it was not possible, and a gastrotomy and removal of the bezoar followed.
		In this case, this was a trichobezoar with a "pigtail" that reached into the duodenum - about 15 cm in size.
	www.pedrad.info /?search=20060104123424 (1147 words)

	PakMediNet - View Abstract
		In children, bezoars are associated with pica, mental retardation, and coexistent psychiatric disorders.
		A case of gastrointestinal trichobezoar in a nine years old girl is described.
		The characteristic appearances on imaging studies of a trichobezoar are described.
	www.pakmedinet.com /view.php?id=3600&choice=v (202 words)

	Health problems due to trichobezoar formation in Loris
		Lorises have specialized lower incisors and canines forming a toothcomb for grooming of the fur (both self- and social grooming occurs).
		Hairs are removed from the toothcomb with the help of the sublingua, a passively moved structure under the tongue, and are swallowed.
		In rare cases, formation of trichobezoars has occurred.
	www.loris-conservation.org /database/disease/3-4_trichobezoars.html (120 words)

	Role of sonography in trichobezoars -- Malpani et al. 7 (12): 661 -- Journal of Ultrasound in Medicine
		Role of sonography in trichobezoars -- Malpani et al.
		Three cases of trichobezoar (12/F, 5/F, and 35/M) are reported.
		sonographic findings were the result of the trichobezoar mass.
	www.jultrasoundmed.org /cgi/content/abstract/7/12/661 (221 words)

	the GASTROLAB Endoscopy Picture Archives: Gastric Trichobezoar
		Bezoars are foreign peristent bodies of material accumulated in the stomach.
		Trichobezoars contains human hair and is a result of ingestion of hair, seen most often in young women.
		Phytobezoars are made of vegetable fibers and pharmacobezoars of medications.
	www.gastrolab.net /pa-380.htm (107 words)

	IngentaConnect Concurrent gastro-oesophageal intussusception, trichobezoar and h...
		Prior to treatment, the cat's condition deteriorated and it was euthanised at the owner's request.
		Post-mortem examination revealed a gastro-oesophageal intussusception, a trichobezoar impacted into the intussusceptum, and a dilated oesophageal hiatus consistent with a chronic hiatal hernia.
		Its aetiology in relation to a pre-existing hiatal hernia and a trichobezoar is discussed.
	www.ingentaconnect.com /content/nzva/nzvj/2005/00000053/00000005/art00021 (167 words)

	At Sea - The logs
		Lindauer gave me a hint: "Its scientific name is trichobezoar." Well, that tidbit wasn't too helpful for me.
		I learned that a trichobezoar is a cow's hairball.
		Perhaps there are a lot of educated ranchers and farmers who know about such things, but I've never seen, touched or heard of a trichobezoar until now.
	www.chron.com /content/interactive/voyager/sail/logs/98/01/06 (395 words)

	Weird Words: Bezoar
		The bezoar is a hard ball of hair or vegetable fibre that occurs in the stomachs of cud-chewing animals such as goats (though humans get them, too).
		If you feel like categorising them, a trichobezoar is a hairball, while a phytobezoar is one that contains mostly vegetable fibres.
		The word is Persian (pad-zahr, counter-poison or antidote) and the bezoar’s fame as a cure for poison spread westwards from there in medieval times.
	www.worldwidewords.org /weirdwords/ww-bez1.htm (205 words)

	[No title]
		Challenging and fascinating patients continue to seek care at Children's in large numbers.
		For example, in recent weeks we have encountered children with neurocysticercosis, Hemophilus parainfluenzae endocarditis, Kawasaki disease with autoimmune anemia, trichobezoar and many, many more.
		Considerable effort is currently being expended to address the statewide issue of underfunding of health care for indigent children at Children's and at other major Illinois pediatric facilities.
	www.childsdoc.org /spring98/editorial.asp (441 words)

	Unbound MEDLINE \| [Giant gastric trichobezoar complicated by a perforated ulcer] Journal article
		[Giant gastric trichobezoar complicated by a perforated ulcer] Journal article
		[Giant gastric trichobezoar complicated by a perforated ulcer] Khirurgiia.
		[Giant gastric trichobezoar complicated by a perforated ulcer]
	www.unboundmedicine.com /medline/ebm/record/9465253/full_citation/[Perigastric_fluid_collection_as_an_indirect_sign_of_gastric_perforation_in_computed_tomography_A_case] (27 words)

	PakMediNet - Keywords (MeSH) Index
		Following are Research Articles associated with keyword Trichobezoar
		Trichobezoar - Case Report and review of the literature
		Akhtar N, Hashmi M A, Chaudary A, Tareen F, Jan I A. Trichobezoar in Children: A Report of three cases
	www.pakmedinet.com /keywords.php?a=Trichobezoar (182 words)

	Unbound MEDLINE \| journal articles related to [A perforated stomach ulcer in bezoar]
		Trichobezoar and perforated gastric ulcer] [Case Reports, Journal Article]
		Zhul'dikov VP [Case of trichobezoar complicated by peptic ulcer perforation] [Case Reports, Journal Article]
		Kovalenko VL, Kolupaev IO [A giant ulcer of the stomach with perforation into the liver simulating cancer] [Case Reports, Journal Article, Review]
	www.unboundmedicine.com /medline/ebm/related/4068544/[Giant_gastric_trichobezoar_complicated_by_a_perforated_ulcer] (207 words)

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