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Reporte de caso: Tricobezoar

Authors

  • Jorge Alberto Diaz Gonzales
    Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS
  • Jorge Alberto Diaz Gonzales
    Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS
  • Ingrid Gabriela Reyes Zúniga
    Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS
    https://orcid.org/0009-0004-6003-4955
  • Misael Pineda Santos
    Médico especialista psiquiatra Infanto Juvenil

Keywords:

Tricobezoar, Sindrome Rapunzel, Adolescente

Abstract

Reportamos el caso de una adolescente femenina que ingresa al Hospital Mario Catarino Rivas en San Pedro Sula con antecedente de tricofagia desde hace 5 años. Ingresa con historia de dolor abdominal epigástrico de 3 meses de evolución con náuseas y vómitos de alimentos ocasionales junto a pérdida de aproximadamente 6 kilogramos de peso en los últimos 3 meses. Paciente fue ingresada y se completaron estudios diagnosticándose tricobezoar gástrico con posterior intervención quirúrgica: laparotomía media supraumbilical accediendo al estómago sobre el cual se le realizó una gastrostomía antral de 6 cm de longitud por donde se extrae el bezoar en su totalidad. Se cierra posteriormente la gastrotomía.

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Author Biographies

Jorge Alberto Diaz Gonzales, Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics,18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23,44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9. https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

Jorge Alberto Diaz Gonzales, Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics,18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23,44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9. https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

Ingrid Gabriela Reyes Zúniga, Médico Residente de segundo año de pediatría, Escue la Universitaria de las Ciencias de la Salud, UNAH-VS

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics,18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23,44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9. https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

Misael Pineda Santos, Médico especialista psiquiatra Infanto Juvenil

1.Cannalire, G., Conti, L., Celoni, M., Grassi, C., Cella, A., Bensi, G., Capelli, P., & Biasucci, G. (2018). Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatrics, 18(1). https://doi.org/10.1186/s12887-018-1097-8
2. De Melio, J., Debrouwere, T., & Herman, M. (2021). Trichobezoar. Journal of the Belgian Society of Radiology, 105(1), 31. https://doi.org/10.5334/jbsr.2478
3. Gupta, Alisha, Mittal, D., & Srinivas, M. (2017). Gastric trichobezoars in children: Surgical overview. International Journal of Trichology, 9(2), 50–53. https://doi.org/10.4103/ijt.ijt_38_17
4. Gupta, Anand, Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), 598–600. https://doi.org/10.24953/turkjped.2017.05.016
5. Henkel, E. D., Jaquez, S. D., & Diaz, L. Z. (2019). Pediatric trichotillomania: Review of management. Pediatric Dermatology, 36(6), 803–807. https://doi.org/10.1111/pde.13954
6. Kumar Bn, A., Kumar L, N., Thippeswamy, J., & Rangaswamaiah, L. N. (2016). Trichobezoar (Rapunzel syndrome) in an adolescent patient with Trichotillomania and Generalized Anxiety Disorder: A case report. Asian Journal of Psychiatry, 23, 44–45. https://doi.org/10.1016/j.ajp.2016.07.008
7. Yıldız Miniksar, D., Yüksel, T., Öz, B., & Özdemir, M. (2021). A comparison of phenomenological, clinical and familial psychiatric features of pediatric OCD and trichotillomania. International Journal of Psychiatry in Clinical Practice, 1–9.https://doi.org/10.1080/13651501.2021.1933041
8. Bottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R. O., & Ghisi, M. (2016). Investigation of the phenomenological and psychopathological features of trichotillomania in an Italian sample. Frontiers in Psychology, 7, 256. https://doi.org/10.3389/fpsyg.2016.0025

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Published

2025-12-10

How to Cite


Diaz Gonzales, J. A., Diaz Gonzales, J. A., Reyes Zúniga, I. G., & Pineda Santos, M. (2025). Reporte de caso: Tricobezoar. Acta Pediátrica Hondureña, 12(2), 1283–1285. Retrieved from https://revistas.unah.edu.hn/index.php/APH/article/view/1081

Issue

Vol. 12 Núm. 2 (2021)

Section

Casos Clínicos

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