Open AccessGastric trichobezoar associated with perforated peptic ulcer andCandida glabratainfection
Author(s) -
Héctor Losada Morales,
Cecilia Huenchullán Catalán,
Rodrigo Demétrio,
Macarena Espinoza Rivas,
Natalia Castagnoli Parraguez,
Martín Alanis Alvarez
Publication year - 2014
Publication title -
world journal of clinical cases
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v2.i12.918
Subject(s) - medicine , perforation , bezoar , candida glabrata , asymptomatic , peritonitis , surgery , acute abdomen , abdomen , gastroenterology , materials science , punching , metallurgy , antifungal , dermatology
Bezoars are accumulations of human or plant fiber located in the gastrointestinal tract of both humans and animals. Patients remain asymptomatic for several years, and the symptoms develop as these accumulations increase in size to the point of obstruction or perforation. We report the case of a 21-year-old patient at 10 d postpartum, who presented with acute abdomen associated with sepsis. Given the urgency of the clinical picture, at no point was the presence of a giant bezoar at gastric level suspected, specifically a trichobezoar. The emergency abdominal and pelvic ultrasound revealed only unspecific signs of perforated hollow viscus. Diagnosis was therefore made intraoperatively. A complete gastric trichobezoar was found with gastric perforation and secondary peritonitis. The peritoneal fluid culture revealed Candida glabrata.