ARTICLE
Trichotillomania, trichophagia, trichobezoar – summary of three cases. Endoscopic follow up scheme in trichotillomania
| 1 | Klinika Chirurgii i Urologii Dziecięcej WUM |
| 2 | Oddział Kliniczny Psychiatrii Samodzielnego Publicznego Dziecięcego Szpitala Klinicznego w Warszawie |
| 3 | Klinika Psychiatrii Wieku Rozwojowego WUM |
| 4 | Klinika Gastroenterologii i Żywienia Dzieci WUM |
CORRESPONDING AUTHOR
Marek Wolski
Klinika Chirurgii i Urologii Dziecięcej Warszawskiego Uniwersytetu Medycznego, św. Wincentego 114/124, 03-291 Warszawa, Polska
Klinika Chirurgii i Urologii Dziecięcej Warszawskiego Uniwersytetu Medycznego, św. Wincentego 114/124, 03-291 Warszawa, Polska
Submission date: 2015-04-17
Final revision date: 2015-05-10
Acceptance date: 2015-05-10
Publication date: 2016-02-28
Psychiatr Pol 2016;50(1):145–152
KEYWORDS
TOPICS
ABSTRACT
Objectives:
Trichotillomania is a lack of control of one’s hair pulling. It is estimated that about 1% of population develops trichotillomania. In up to 20% of patients with trichotillomania swollowing follows hair pulling. Trichobezoar forms in about 30% of patients with trichofagia.
Methods:
In 2008-2014 3 patients were operated on trichobezoar. One patient has had a history of trichotillomania. On admission abdominal X-ray and ultrasonography revealed abdominal mass. Diagnosis was confirmed in abdominal computed tomography.
Results:
All three trichobezoars were evacuated from the intestinal tract during laparotomy with wide gastric wall opening. In one case – Rapunzel syndrome – hair mass was evacuated also from the duodenum and small bowel. All patients were referred to psychiatrist after finishing of the surgical treatment.
Conclusions:
In patients operated for trichobezoar as well as other patients with trichotillomania control of hair accumulation in the gastrointestinal tract remains a problem. Authors propose endoscopic follow up scheme in 6, 12, and 24 months after the surgery as well as for other patients with trichotillomania.
Trichotillomania is a lack of control of one’s hair pulling. It is estimated that about 1% of population develops trichotillomania. In up to 20% of patients with trichotillomania swollowing follows hair pulling. Trichobezoar forms in about 30% of patients with trichofagia.
Methods:
In 2008-2014 3 patients were operated on trichobezoar. One patient has had a history of trichotillomania. On admission abdominal X-ray and ultrasonography revealed abdominal mass. Diagnosis was confirmed in abdominal computed tomography.
Results:
All three trichobezoars were evacuated from the intestinal tract during laparotomy with wide gastric wall opening. In one case – Rapunzel syndrome – hair mass was evacuated also from the duodenum and small bowel. All patients were referred to psychiatrist after finishing of the surgical treatment.
Conclusions:
In patients operated for trichobezoar as well as other patients with trichotillomania control of hair accumulation in the gastrointestinal tract remains a problem. Authors propose endoscopic follow up scheme in 6, 12, and 24 months after the surgery as well as for other patients with trichotillomania.
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