Small Bowel Volvulus with a Jejunal Trichobezoar.

ABSTRACT

Background: Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children. Case characteristics An 8-year-old girl with abdominal pain and persistent bilious vomiting. Observation The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic exploration revealed the rotated segment of small bowel loops by a jejunal trichobezoar. Outcome: Satisfactory recovery after surgery. Message Trichobezoars should be considered in the differential diagnosis of abdominal pain and projectile vomiting in children.