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Abstract
A large trichobezoar has been traditionally removed by open surgery, which has entailed
an upper abdominal incision. With the advent of laparoscopic surgery, it became feasible
to retrieve a foreign body from the stomach without the necessity of a large skin
incision in the upper abdomen. A 7-year-old girl presenting with abdominal pain, nausea,
and appetite loss was admitted and evaluated. Results of an upper gastro-intestinal
series showed a large mass in the stomach that extended into the duodenum. Endoscopical
removal had been tried twice under general anesthesia and resulted only in the retrieval
of the small portion of the trichobezoar in the duodenum; total removal seemed impossible
with endoscopic techniques. Laparoscopic removal was then undertaken to avoid the
surgical scar in the upper abdomen. The trichobezoar was successfully retrieved through
a gastrotomy and removed via a small suprapubic incision. This approach may be the
treatment of choice for future cases of trichobezoar when surgery is indicated.
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© 1998 Published by Elsevier Inc.
