Gastrie trichobezoar : first report case in Burkina Environment

Abstract

The trichobezoar  is a concretion of hair or carpet and food debris fiber, usually located in the stomach. The first observation trichobezoar was reported in 1779 by Baudamant at autopsy in a man died follow­ ing gastric perforation with peritonitis. We report the first case in Burkina environment observed in 2013 in General  and Digestive Surgery department of University Hospital Yalgado Ouédraogo of Ouagadougou. He acted in a 20 year old woman admitted for epigastric mass associated with food vom­ iting. The interrogation had found a history of trichoti llomania and trichophagia dating 4 years. The gas­ troscopy showed a gastric hairball. A supra-umbilical midline laparotomy and a gastrostomy allowed extracting a hairball measuring 32 x 9 x 6 cm, weighing 900 g. The postoperative were simple. The patient was out in the eighth postoperative day. She was later assigned to a psychiatri st for therapy monitoring. The hairball is a rare disease that usually occurs in adolescents with mental disorders.