{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:58:31Z","timestamp":1791302311611,"version":"4.1.0"},"reference-count":16,"publisher":"Pensoft Publishers","issue":"3","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                  <\/jats:p>\n                  <jats:p>Bezoars are accumulations in the gastrointestinal tract caused by intentional or unintentional consumption of indigestible materials. After food and mucus impaction they become solid masses with different sizes, presenting with various non-specific symptoms. Current treatment options for bezoars include enzymatic dissolution, endoscopic fragmentation and removal, and surgical removal.<\/jats:p>\n                  <jats:p>Herein, we report two cases with an abdominal trichobezoar due to trichophagia presenting with mild atypical symptoms and requiring surgical removal. The patients had no underlying psychological and behavioral deviations, psychiatric disorders, stressful or traumatic live events that may trigger the condition. We present our approach to making the diagnosis, the challenges we met, and our treatment strategy.<\/jats:p>\n                  <jats:p>Trichobezoar should not be forgotten as part of the differential diagnosis of abdominal pain and abdominal mass in children and adolescent.<\/jats:p>","DOI":"10.3897\/folmed.64.e62464","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T11:42:32Z","timestamp":1656589352000},"page":"537-542","source":"Crossref","is-referenced-by-count":5,"title":["Gastric trichobezoar in the absence of psychosocial stressors: a report of two cases"],"prefix":"10.3897","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7449-7756","authenticated-orcid":true,"given":"Ivan","family":"Yankov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasil","family":"Tashev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavlin","family":"Kozev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9850-4386","authenticated-orcid":true,"given":"Rayna","family":"Shentova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danail","family":"Mitkovski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1668-362X","authenticated-orcid":true,"given":"Nikola","family":"Boyanov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"62464_B1","doi-asserted-by":"crossref","unstructured":"1. Singh SK, Marupaka SK. Duodenal date seed bezoar: a very unusual cause of partial gastric outlet obstruction. Australas Radiol 2007; 51:B126\u20139.","DOI":"10.1111\/j.1440-1673.2007.01810.x"},{"key":"62464_B2","unstructured":"2. Bashir EA, Samiullah, Sadiq MA, et al. Rapunzel syndrome. J Ayub Med Coll Abbottabad 2010; 22(4):218\u201320."},{"key":"62464_B3","doi-asserted-by":"crossref","unstructured":"3. Naik S, Gupta V, Naik S, et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24(3):157\u201361.","DOI":"10.1159\/000102098"},{"key":"62464_B4","doi-asserted-by":"crossref","unstructured":"4. Coulter R, Antony MT, Bhuta P, et al. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. South Med J 2005; 98(10):1042\u20134.","DOI":"10.1097\/01.smj.0000182175.55032.4a"},{"key":"62464_B5","doi-asserted-by":"crossref","unstructured":"5. Bhatnagar V, Mitra DK. Childhood trichobezoars. Indian J Pediatr 1984; 51(4):489\u201392.","DOI":"10.1007\/BF02776438"},{"key":"62464_B6","unstructured":"6. Deslypere JP, Praet M, Verdonk G. An unusual case of the trichobezoar: the Rapunzel syndrome. Am J Gastroenterol 1982; 77:467\u201370."},{"key":"62464_B7","doi-asserted-by":"crossref","unstructured":"7. Cannalire G, Conti L, Celoni M, et al. Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatr 2018; 18(1):125.","DOI":"10.1186\/s12887-018-1097-8"},{"key":"62464_B8","unstructured":"8. Ahmad Z, Sharma A, Ahmed M, et al. Trichobezoar causing gastric perforation: a case report. Iran J Med Sci 2016; 41(1):67\u201370."},{"key":"62464_B9","doi-asserted-by":"crossref","unstructured":"9. Zildzic M, Salihefendic N, Panzalovic D, et al. The large gastric trichobezoar associated with ulcers and antral polyposis: case report. Med Arch 2013; 67(3):212\u20134.","DOI":"10.5455\/medarh.2013.67.212-214"},{"key":"62464_B10","unstructured":"10. Canavese F, Maiullari E, Costantino S, et al. A gastric trichobezoar: a report of a clinical case with anomalous presentation. Pediatr Med Chir 1994; 16(3):289\u201391."},{"key":"62464_B11","doi-asserted-by":"crossref","unstructured":"11. Sharma NL, Sharma RC, Mahajan VK, et al. Trichotillomania and trichophagia leading to trichobezoar. J Dermatol 2000; 27(1):24\u20136.","DOI":"10.1111\/j.1346-8138.2000.tb02112.x"},{"key":"62464_B12","doi-asserted-by":"crossref","unstructured":"12. Ivascu NS, Sarnaik S, McCrae J, et al. Characterization of pica prevalence among patients with sickle cell disease. Arch Pediatr Adolesc Med 2001; 155(11):1243\u20137.","DOI":"10.1001\/archpedi.155.11.1243"},{"key":"62464_B13","doi-asserted-by":"crossref","unstructured":"13. Kawoosa NUN, Zargar BR. A giant trichobezoar causing Rapunzel syndrome in a 12-year-old female. Indian J Psychol Med 2011; 33(1):77\u20139.","DOI":"10.4103\/0253-7176.85401"},{"key":"62464_B14","doi-asserted-by":"crossref","unstructured":"14. Guniganti P, Bradenham CH, Raptis C, et al. CT of gastric emergencies. Radiographics 2015; 35(7):1909\u201321.","DOI":"10.1148\/rg.2015150062"},{"key":"62464_B15","doi-asserted-by":"crossref","unstructured":"15. Kaneko H, Tomomasa T, Kubota Y, et al. Pharmacobezoar complicating treatment with sodium alginate. J Gastroenterol 2004; 39(1):69\u201371.","DOI":"10.1007\/s00535-003-1247-z"},{"key":"62464_B16","doi-asserted-by":"crossref","unstructured":"16. Benatta MA. Endoscopic retrieval of gastric trichobezoar after fragmentation with electrocautery using polypectomy snare and argon plasma coagulation in a pediatric patient. Gastroenterol Rep (Oxf) 2016; 4(3):251\u20133.","DOI":"10.1093\/gastro\/gov013"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/62464\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/62464\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=62464&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T11:42:45Z","timestamp":1656589365000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/62464\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,30]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,6,30]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.64.e62464","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,30]]}}}