Title: A Rare Case of Gastric Trichobezoar with Immune Thrombocytopenic Purpura and Iron Deficiency Anemia
Authors: Dr Nishant Lal, Dr Aiswarya R Pillai, Dr M. Vetharatnam, Dr Shafy Ali Khan
DOI: https://dx.doi.org/10.18535/jmscr/v9i4.05
Abstract
‘Bezoar’ is a hard indigestible mass found in the gastrointestinal tract. Most of them are trichobezoars – found commonly in children. In adolescent females, it is found to be associated with psychiatric disorders like trichotillomania (hair pulling) and trichophagia (hair eating). This is a rare case of gastric trichobezoar associated with Immune Thrombocytopenic Purpura (ITP) and Iron Deficiency Anemia (IDA) in a 15 year old female.
Keywords: Trichobezoar, Trichophagia, Trichotillomania. Immune Thrombocytopenic Purpura, Iron Deficiency Anemia.
References
- Coulter R, Antony MT, Bhuta P, Memon MA. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. South Med J. 2005 Oct;98(10):1042-4. doi: 10.1097/01.smj.0000182175.55032.4a. PMID: 16295823.
- Pace AM, Fearne C. Trichobezoar in a 13 year old male: a case report and review of literature. Malta Med J. 2003;15: 39-40.
- American Psychiatry Association. In: Cortina R, editor. DSM V, the future of psychiatric diagnosis; 2014.
- Cannalire G, Conti L, Celoni M, Grassi C, Cella A, Bensi G, Capelli P, Biasucci G. Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatr. 2018 Apr 4;18(1):125. doi: 10.1186/s12887-018-1097-8. PMID: 29614986; PMCID: PMC5883293.
- Larsson LT, Nivenius K, Wettrell G. Trichobezoar in a child with concomitant coeliac disease: a case report. Acta Paediatr. 2004 Feb;93(2):278-80. PMID: 15046290.
- McCallum IJ, Van zanten C, Inam IZ, Craig W, Mahdi G, Thompson RJ. Trichobezoar in a child with undiagnosed coeliac disease. J Paediatr Child Health. 2008 Sep;44(9):524-5. doi: 10.1111/j.1440-1754.2008.01363.x. PMID: 18928474.
- Irastorza I, Tutau C, Vitoria JC. A trichobezoar in a child with undiagnosed celiac disease: a case report. World J Gastroenterol. 2014 Feb 7;20(5):1357-60. doi: 10.3748/wjg.v20.i5.1357. PMID: 24574811; PMCID: PMC3921519.
- Kırpınar I, Kocacenk T, Koçer E, Memmi N. Recurrent trichobezoar due to trichophagia: a case report. Gen Hosp Psychiatry. 2013 Jul-Aug;35(4):439-41. doi: 10.1016/j.genhosppsych.2013.01.013. Epub 2013 Mar 29. PMID: 23541805.