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BMC Gastroenterology
Published in: BMC Gastroenterology 1/2022

Open Access 01-12-2022 | Laryngoscopy | Case report

Uncommon cause of respiratory failure due to a bezoar in the hypopharynx: a case report

Authors: Seyed-Hasan Adeli, Malihe Sehat, Gholamreza Azarnia Samarin, Jamshid Vafaeimanesh, Sajjad Ahmadpour, Sara Nasiri

Published in: BMC Gastroenterology | Issue 1/2022

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Abstract

Background

Trichotillomania and trichophagia cause trichobezoars, which are masses made of hair. The main presentation of this condition is abdominal pain. However, other complications include gastric outlet obstruction, nausea, vomiting, weight loss, malnutrition, hematemesis, diarrhea, and constipation.

Case presentation

A 57-year-old woman with trichotillomania was admitted to the Emergency Department with the chief complaints of dyspnea on exertion, shortness of breath, dysphagia, generalized weakness, and hoarseness. Spiral chest computed tomography (CT) scan did not reveal any parenchymal lesions Pulmonary CT angiography did not reveal pulmonary embolism. The patient was admitted to the Surgery Department for hand fasciotomy due to contrast leakage, and during laryngoscopy, a trichobezoar was detected that was removed with Magill forceps.

Conclusions

Rare cases of trichobezoars can be observed in humans with gastrointestinal and respiratory symptoms. Precise and timely diagnosis are key for the prevention of more invasive diagnostic procedures.
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Sehgal V, Srivastava G. Trichotillomania±trichobezoar: revisited. J Eur Acad Dermatol Venereol. 2006;20(8):911–5.PubMed
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Metadata
Title
Uncommon cause of respiratory failure due to a bezoar in the hypopharynx: a case report
Authors
Seyed-Hasan Adeli
Malihe Sehat
Gholamreza Azarnia Samarin
Jamshid Vafaeimanesh
Sajjad Ahmadpour
Sara Nasiri
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Gastroenterology / Issue 1/2022
Electronic ISSN: 1471-230X
DOI
https://doi.org/10.1186/s12876-021-02080-1

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