Open AccessTricobezoar gastroduodenal en la edad escolar. Caso clínico
Author(s) -
Edna L Castrillón Peña,
Mario Fernando Espinosa-Moreno,
Juan Camilo Barrios-Torres,
Edgar E Forero Niño
Publication year - 2019
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2019.e284
Subject(s) - medicine , psychoeducation , incidence (geometry) , pediatrics , humanities , gynecology , psychiatry , philosophy , physics , optics , intervention (counseling)
Bezoar is an accumulation of organic substances in the gastrointestinal tract; trichobezoar refers to the accumulation of hair usually in the stomach and even beyond it (Rapunzel syndrome). The incidence of this condition is extremely rare, 90 % of cases occur in women, and 80 % of these occur in those under 30 years of age and are related to anxiety behaviors and psychiatric disorders. The integral approach in these patients is fundamental, together with the interdisciplinary follow-up, treating the underlying psycho-emotional causes and adequate psychoeducation with the patients and their relatives, in order to reduce the risk of possible recurrences. We present the clinical case of a patient of school age, with a history of physical abuse by her stepfather and subsequent anxious behaviors (trichotillomania and trichophagia).