Ileal Trichobezoar Presenting as Intestinal Obstruction and
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Presentation of trichobezoars is generally late because it takes many months to form a considerable trichobezoar before an impaction can occur. Moreover, initially subacute intestinal obstruction and other vague signs and symptoms also causes delayed diagnosis in addition to low index of suspicion.Most of the patients present with complications of trichobezoar such as intestinal obstruction, intestinal ischemia, and perforation peritonitis.Trichobezoar is less common in boys. We are reporting a case of isolated ileal trichobezoars in a 4 year old boy causing intestinal obstruction and gut ischemia with perforation and peritonitis. The case was managed surgically with ileal resection and anastomosis. Postoperative period was uneventful....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5371684/
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