%0 Journal Article
%T Small-bowel trichobezoars with intestinal obstruction in children: three case reports and literature review.
%A Wang L
%A Zhang S
%A Chen Y
%A Chen S
%A Chen Q
%A Gao Z
%J Paediatr Int Child Health
%V 44
%N 2
%D 2024 Aug 27
%M 39066724
%F 2.725
%R 10.1080/20469047.2024.2383516
%X Trichobezoars are conglomerates of hair within the gastro-intestinal tract, commonly detected in the stomach, and they can present with the Rapunzel syndrome. Isolated small-bowel trichobezoars are extremely rare. Three female patients presented with abdominal pain and bilious vomiting, and underwent various imaging examinations. Two were diagnosed with small-bowel trichobezoars with intestinal obstruction and one with intestinal obstruction only. All three underwent surgery. Two underwent laparoscopic exploration and one underwent a laparotomy. One and two patients had isolated small-bowel trichobezoars in the ileum and jejunum, respectively. Two patients were followed up by a psychiatrist, and all recovered well without recurrence. These three cases emphasise the importance of a comprehensive medical history and imaging in patients with small-bowel obstruction to determine the possibility of bezoars.