Subject(s)
Bile Ducts/surgery , Cholecystitis, Acute/surgery , Round Ligaments/surgery , Aged , Bile Ducts/injuries , Bile Ducts/pathology , Cholecystectomy, Laparoscopic , Cholecystitis, Acute/diagnostic imaging , Humans , Magnetic Resonance Imaging , Male , Necrosis , Round Ligaments/diagnostic imaging , Tomography, X-Ray Computed , Treatment OutcomeSubject(s)
Humans , Male , Aged , Bile Ducts/surgery , Cholecystitis, Acute/surgery , Round Ligaments/surgery , Bile Ducts/injuries , Bile Ducts/pathology , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Treatment Outcome , Cholecystectomy, Laparoscopic , Cholecystitis, Acute/diagnostic imaging , Round Ligaments/diagnostic imaging , NecrosisABSTRACT
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.
