Fortuitous discovering in imaging of the gastroduodenal trichobezoar in young adolescents: A report of two cases

The trichobezoar is a rare entity. It is usually found in the stomach with possibility of migration to the distal level of digestive tract. The objective of this review is to describe clinical and radiological characteristics and treatment of trichobezoar from two cases discovered fortuitously on imaging. Case Series: We reported two cases of gastroduodenal trichobezoar location. The first case concerned a 10-year-old girl who presented a gastroduodenal trichobezoar without any history. The second case concerned a 14-year-old girl with a history of alopecia. Abdominal ultrasound and computed tomography (CT) scan were used and CT scan notified the typical images of trichobezoar and discovered the severe complication of this entity which was in the digestive perforation followed by the peritonitis. Conclusion: The gastroduodenal bezoar is a rare concern considering the nature and pathophysiology. The CT scan is the main form of imaging and must specify the extension, the existence of the synchronous locations, and look for complications.