Small bowel volvulus with a jejunal trichobezoar |
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| Authors: | Ky Young Cho Dong Ho Shim Kyung Tak Yoo |
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| Affiliation: | 1. Departments of Pediatrics, KEPCO Medical Center, 308, Uicheon-ro, Dobong-gu, Seoul, Republic of Korea
2. Surgery, KEPCO Medical Center, Seoul, Republic of Korea
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| Abstract: | 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. |
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