Perfuração gástrica por tricobezoar / Gastric perforation secondary to trichobezoar

RESUMO

Bezoars are uncommon foreign bodies found in the stomach and intestines. They are usually secundary to "strange" or "weird" alimentary habits. The contents may include hair, stones, vegetal fibers and others. Diagnosis is generally made due to complications, mainly parcial or complete obstruction of the segment affected. Bleeding and perforation may also occur. This paper describes a case of a 14-years-old female patient, who presented herself to the Emergency Room and was diagnosed as having a gastric perforation due to a trichobezoar that was 15cm long and weighted 900g. A review of the literature and comments about diagnosis and management are presented