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
Submission date: 2015-04-17
Final revision date: 2015-05-10
Acceptance date: 2015-05-10
Publication date: 2016-02-28
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
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.
Project no. RCN/SN/0610/2021/1 implemented from 2022 to 2024
Total value of the project: PLN 490 000
Amount funded by the MEiN: PLN 100 000
Aims of the project: Publication in Open Access mode on the Internet of English and Polish language versions of 12 consecutive issues of the journal Psychiatria Polska (years 2022-2024). Modernization and redesign of the journal’s website. Financing of the Editorial System. Copy editing and proofreading of journal issues. Counteracting scientific misinformation. Submission of electronic versions of the journal to the National Digital Library Polona and the Digital Library of Scientific Publications Academica.
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