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Trichobezoar and Amenorrhea: A Rare Association

Parveen MalhotraTashkent Institute Of Postgraduate Medical EducationVani MalhotraTashkent Institute Of Postgraduate Medical EducationManeet KaurPostgraduate Institue of Medical SciencesRamesh KumarDepartment of Gastroenterology, Postgraduate Institue of Medical Sciences, Rohtak, Haryana, IndiaYogesh SanwariyaDepartment of Gastroenterology, Postgraduate Institue of Medical Sciences, Rohtak, Haryana, IndiaDhananjay KumarDepartment of Medicine, Postgraduate Institue of Medical Sciences, Rohtak, Haryana, IndiaSmiti NandaTashkent Institute Of Postgraduate Medical Education

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Abstract Background: Trichobezoar is a ball of swallowed hair that collects in the stomach and fails to pass through the intestines. The risk is greatest among mentally retarded or emotionally disturbed children. Case : A 16-year-old mentally subnormal girl presented with secondary amenorrhea of 2 years' duration. She also had a history of a lump and pain in the abdomen. Abdominal examination revealed a firm, nontender mobile mass occupying the epigastrium and extending to right hypochondrium and lumbar region. Endoscopy confirmed a trichobezoar in the stomach. Results: The trichobezoar was removed in multiple sittings using an endoscope. Conclusions: Counseling by a psychiatrist has an important role in prevention of recurrence. Trichobezoar should be considered a differential diagnosis in any young girl who presents with epigastric pain, vomiting, and abdominal mass. (J GYNECOL SURG 29:210)

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