Refik AYTEN, Ziya ÇETİNKAYA, Erhan AYGEN, Mustafa GİRGİN

Mental retardasyonlu olguda trikobezoara bağlı nadir bir komplikasyon: izole ince barsak tıkanması

Mental retardasyon hikayesi olan 21 yaşında genç bayan hasta akut ince barsak tıkanma bulgularıyla acil servise başvurdu. Eksploratif laparatomide mide de eşlik eden bezoar olmaksızın terminal ileumda trikobezoar gözlendi. Etkilenen barsak segmenti rezeke edildi ve ileuma uç uca anastomoz uygulandı.

Anahtar Kelimeler:

Bağırsak tıkanması, Erişkin, Bezoarlar, Kadın, Zeka geriliği

Triobezoar, a rare cause of small bowel obsturction in a patient with mental retardation

Twenty one year old lady with a previous history of mental retardation, presented to surgical emergency department with features of acute intestinal obstruction. Exploratory laparotomy revealed trichobezoar in the terminal ileum without a parent bezoar in the stomach. She was managed by resection of the affected segment of the bowel, end to end anastomosis of the ileum.

Keywords:

Intestinal Obstruction, Adult, Bezoars, Female, Mental Retardation,

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1) Cintamani, Durkhure R, Jp S, Singhal V. Cotton Bezoar- a rare cause of intestinal obstruction: case report. BMC Surg 2003; 3: 5- 9.
2) Acar T, Tuncal S, Aydin R. An unusual cause of gastrointestinal obstruction: bezoar. N Z Med J 2003; 2: 116-117.
3) Seker B, Dilek ON, Karaayvaz M. Trichobezoars as a cause of gastrointestinal obstructions: the Ranpunzel syndrome. Acta Gastroenterol Belg 1996; 59:166-167.
4) Charles AH, Jeffrey PL. Bezoars: Classification, Pathophysiology, and Treatment. Am J Gastroenterol 1988; 83: 476-478.
5) Goldstein SS, Lewis JH, Rothstein R. Intestinal obstruction due to bezoars. Am J Gastroenterol 1984; 79: 313-318.
6) Senapati MK, Subramanian S. Rapunzel syndrome. Trop Doct 1997; 27: 53-54.
7) Delabrousse E, Brunelle S, Saguet O, Destrumelle N, Landecy G, Kastler B. Small bowel obstruction secondary to phytobezoar CT findings. Journal of Clinical Imaging 2001; 25: 44-46.
8) Balthazar EJ. CT of small bowel obstruction. Am J Roentgenol 1994; 162: 255-261.
9) Amstrong JH, Holtzmuller KC, Barcia PJ. Gastric Trichobezoar as a Manifestation of Child Abuse. Current Surg 2001; 58: 202- 204.