An Uncommon Case of Trichobezoar Resulting in Small Bowel Obstruction, Perforation, and Meckel's Diverticulum (Code-T0186)

Introduction: Trichobezoar is a rare condition characterized by the accumulation of ingested hair in the gastrointestinal tract, often resulting in gastrointestinal symptoms. While it commonly presents as a gastric bezoar, it can also lead to complications such as small bowel obstruction, perforation, and even involvement of adjacent anatomical structures like Meckel's diverticulum. The condition is most frequently seen in individuals with psychiatric disorders such as trichotillomania.

Aims and Objectives: This case study aims to report a rare instance of trichobezoar causing small bowel obstruction, perforation, and involvement of Meckel's diverticulum. The objective is to highlight the complexity of diagnosis, the challenges in treatment, and the importance of considering this condition in the differential diagnosis of gastrointestinal obstruction, especially in patients with psychiatric comorbidities.

Methods: A 23-year-old female patient with a history of trichotillomania presented with acute abdominal pain, vomiting, and signs of bowel obstruction. Imaging studies, including X-ray and CT scan, revealed signs of small bowel obstruction and perforation. Surgical exploration confirmed the presence of a large trichobezoar with involvement of Meckel's diverticulum.

Results: Surgical resection of the trichobezoar and Meckel's diverticulum was performed. The patient recovered postoperatively with no recurrence of symptoms. Histopathological examination confirmed the diagnosis.

Conclusion: Trichobezoar is a rare but serious condition that can lead to significant gastrointestinal complications. Early recognition and surgical intervention are crucial for preventing severe outcomes such as bowel perforation and infection.

Keywords: Trichobezoar, Small bowel obstruction, Perforation, Meckel's diverticulum, Hairball, Gastrointestinal complications.