Gastric trichobezoar associated with perforated peptic ulcer and Candida glabrata infection

Bezoars are accumulations of human or plant fiber located in the gastrointestinal tract of both humans and animals. Patients remain asymptomatic for several years, and the symptoms develop as these accumulations increase in size to the point of obstruction or perforation. We report the case of a 21-...

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Veröffentlicht in:World journal of clinical cases 2014-12, Vol.2 (12), p.918-923
Hauptverfasser: Morales, Héctor Losada, Catalán, Cecilia Huenchullán, Demetrio, Rodrigo Arriagada, Rivas, Macarena Espinoza, Parraguez, Natalia Castagnoli, Alvarez, Martín Alanis
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Sprache:eng
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Zusammenfassung:Bezoars are accumulations of human or plant fiber located in the gastrointestinal tract of both humans and animals. Patients remain asymptomatic for several years, and the symptoms develop as these accumulations increase in size to the point of obstruction or perforation. We report the case of a 21-year-old patient at 10 d postpartum, who presented with acute abdomen associated with sepsis. Given the urgency of the clinical picture, at no point was the presence of a giant bezoar at gastric level suspected, specifically a trichobezoar. The emergency abdominal and pelvic ultrasound revealed only unspecific signs of perforated hollow viscus. Diagnosis was therefore made intraoperatively. A complete gastric trichobezoar was found with gastric perforation and secondary peritonitis. The peritoneal fluid culture revealed Candida glabrata.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v2.i12.918