Perfuração gástrica secundária a tricobezoar gigante: descrição de caso e revisão da literatura

• Autor(a) principal: Zeni Neto,Clementino
• Data de Publicação: 1998
• Outros Autores: Coelho,Júlio Cezar Uili, Campos,Antonio Carlos Ligocki, Malafaia,Osvaldo, Salvalaggio,Paolo Rogério de Oliveira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911998000200015
• topic: Bezoars-complication; Intestinal perforation; Gastrostomy

Gastric bezoars are impactations offoreign material in lhe stomach. When they are caused by hail; they are named tricho- bezoars. The complications oftrichobezoars are very rare. In this papel; we describe a case of a 16-year-old girl that had a previous history oftricophagia, and had an acute abdominal pain with a pneumoperitoneum in the abdomen radiography. An operation was performed and a gastric perforation was founded associated with a giant trichobezoa7: The trichobezoar was removed by traction through a gastrostomy which was performed in order to remove lhe trichobezoa7: Some fragments of the ulcer were obtained to histological study. The gastrostomy was treated by a gastrorraphy confection. In lhe post- operative period a left subfrenic abscess was revealed and has been drained by laparatomy 15 days after the fisrt operation. After the second surgical procedure the patient had a good evolution, and left the hospital in good health conditions.