Small bowel volvulus with a jejunal trichobezoar
Tóm tắt
Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children. An 8-year-old girl with abdominal pain and persistent bilious vomiting. The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar. Satisfactory recovery after surgery. Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.
Tài liệu tham khảo
Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA. Management of trichobezoar: case report and literature review. Pediatr Surg Int. 2010;26:457–63.
Birnbaum DJ, Grègoire E, Campan P, Hardwigsen J, Le Treut YP. Primary small bowel volvulus in adult. J Emerg Med. 2013;44:e329–30.
Papadimitriou G, Marinis A, Papakonstantinou A. Primary midgut volvulus in adults: report of two cases and review of the literature. J Gastrointest Surg. 2011;15:1889–92.
Duda JB, Bhatt S, Dogra VS. Utility of CT whirl sign in guiding management of small-bowel obstruction. Am J Roentgenol. 2008;191:743–7.
Chogle A, Bonilla S, Browne M, Madonna MB, Parsons W, Donaldson J, et al. Rapunzel syndrome: a rare cause of biliary obstruction. J Pediatr Gastroenterol Nutr. 2010;51:522–3.
Sharma RD, Kotwal S, Chintamani, Bhatnagar D. Trichobezoar obstructing the terminal ileum. Trop Doct. 2002;32:99–100.
Fagenholz PJ, de Moya MA. Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel’s diverticulum. JSLS. 2011;15:562–4.
Khattala K, Boujraf S, Rami M, Elmadi A, Afifi A, Sbai H, et al. Trichobezoar with small bowel obstruction in children: two cases report. Afr J Paediatr Surg. 2008;5:48–51.
Fallon SC, Slater BJ, Larimer EL, Brandt ML, Lopez ME. The surgical management of Rapunzel syndrome: a case series and literature review. J Pediatr Surg. 2013;48:830–4.