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CASE REPORTS
JOURNAL ARTICLE
Small bowel volvulus with a jejunal trichobezoar.
Indian Pediatrics 2014 July
BACKGROUND: Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children.
CASE CHARACTERISTICS: An 8-year-old girl with abdominal pain and persistent bilious vomiting.
OBSERVATION: The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar.
OUTCOME: Satisfactory recovery after surgery.
MESSAGE: Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.
CASE CHARACTERISTICS: An 8-year-old girl with abdominal pain and persistent bilious vomiting.
OBSERVATION: The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar.
OUTCOME: Satisfactory recovery after surgery.
MESSAGE: Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.
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