Korean Journal of Gastrointestinal Endoscopy 2009;39(4): 222-225.
내시경적 이물 제거술 시도 중에 식도에 박힌 모발위석(trichobezoar) 1예
박상희ㆍ문진수*ㆍ허태길†
인제대학교 의과대학 서울백병원 소아과학교실, 일산백병원 *소아과학교실, †외과학교실
Esophageal Impaction of Trichobezoar Caused by Endoscopic Removal
Sang Hee Park, M.D., Jin Soo Moon, M.D.* and Tae Gil Huh, M.D.†
Department of Pediatrics, Inje University Seoul Paik Hospital, Seoul, Departments of *Pediatrics and †Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea
Abstract
Trichobezoar usually occurs in patients who have trichotillomania combined with trichophagia. Bezoars can result in serious complications including gastric ulceration, bleeding, perforation and small bowel obstruction when undiagnosed. The three main venues of bezoar removal (chemical dissolution, endoscopic removal and surgical removal) are chosen mainly by the size and composition of the bezoar. Trichobezoars generally require endoscopic or surgical removal. An 8-year-old girl visited our emergency room with recurrent epigastric pain and vomiting. Gastroduodenoscopy showed a 2×10 cm trichobezoar causing pyloric obstruction. During endoscopic removal of trichobezoar, esophageal impaction occurred. The trichobezoar was pushed into the stomach and was removed through surgical gastrostomy under general anesthesia. We report this case as an instructive reference for the proper treatment of trichobezoar in children. (Korean J Gastrointest Endosc 2009;39:222-225)
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