{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:23Z","timestamp":1782956663159,"version":"3.54.5"},"reference-count":32,"publisher":null,"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,2,14]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Bezoars are indigestible lumps which are usually found in stomach. Types of bezoar include phytobezoar, trichobezoar, lithobezoar, pharmacobezoar, plasticobezoar, lactobezoar and metal bezoar. Trichobezoars mostly affect females in 20s and 30s with a rarity in paediatrics. Unexplained complaints with a palpable mass are commonly found in these patients. Treatment involves retrieval of mass with searching for others.\n                      <jats:bold>Purpose:<\/jats:bold>\n                      The purpose of this study was to present data and surgical management of cases with trichobezoars.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We documented a retrospective review of trichobezoars done in our hospital between 2016 and 2022. All demographic data collected included gender and age of cases, composition and extent of bezoar, clinical presentation, imaging modalities, endoscopic trial, surgical approach and outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five cases of gastrointestinal tract (GIT) trichobezoars underwent surgery. All cases were females between (13 and 16 years). Trichobezoars were three gastric, one ileal and one of combined gastric and colonic. Complaints were abdominal pain, vomiting, weight loss and halitosis. Three cases had a palpable abdominal mass. Different radiological modalities were performed. Endoscopic retrieval was tried in one patient and the laparoscopic approach in another one, but the first route failed. Laparotomy followed by gastrotomy, enterotomy and colotomy was done without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Trichobezoars should be suspected in any child with unexplained abdominal complaints or with a palpable abdominal mass, especially in girls. Imaging can be done in different modalities for diagnosis. Endoscopic retrieval could be tried; however, its failure is common, necessitating laparotomy, which has an excellent outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_104_22","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T05:40:27Z","timestamp":1676439627000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Gastrointestinal Bezoars in Paediatrics"],"prefix":"10.67481","author":[{"given":"Mohamed Ahmed","family":"Elghazeery","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan Mohamed","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-20240402","doi-asserted-by":"crossref","first-page":"bcr2013201569","DOI":"10.1136\/bcr-2013-201569","article-title":"Trichobezoar:A diagnosis which is hard to swallow and harder to digest","volume":"2014","author":"Sanneerappa","year":"2014","journal-title":"BMJ Case Rep"},{"key":"R2-20240402","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1471-2482-3-5","article-title":"Cotton bezoar \u2013A rare cause of intestinal obstruction:Case report","volume":"3","author":"Chintamani","year":"2003","journal-title":"BMC Surg"},{"key":"R3-20240402","doi-asserted-by":"crossref","first-page":"2058460115627660","DOI":"10.1177\/2058460115627660","article-title":"The diagnosis and treatment of Rapunzel syndrome","volume":"5","author":"Wang","year":"2016","journal-title":"Acta Radiol Open"},{"key":"R4-20240402","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1159\/000486193","article-title":"Spontaneous rupture of hepatocellular carcinoma in a young patient with fatal outcome","volume":"12","author":"Pinal-Garc\u00eda","year":"2018","journal-title":"Case Rep Gastroenterol"},{"key":"R5-20240402","first-page":"251","article-title":"Trichobezoar:An uncommon pediatric problem","volume":"21","author":"Reisfeld","year":"1978","journal-title":"Can J Surg"},{"key":"R6-20240402","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/j.1445-2197.1971.tb05157.x","article-title":"Trichobezoar:An unusual case of perforated gastric ulcer","volume":"38","author":"Sewell","year":"1968","journal-title":"Aust N Z J Surg"},{"key":"R7-20240402","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1176\/appi.ajp.162.2.242","article-title":"Hair apparent:Rapunzel syndrome","volume":"162","author":"Frey","year":"2005","journal-title":"Am J Psychiatry"},{"key":"R8-20240402","first-page":"287","article-title":"Trichobezoar","volume":"72","author":"Walls","year":"1976","journal-title":"Ohio State Med J"},{"key":"R9-20240402","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1097\/00004836-200411000-00007","article-title":"Phytobezoars and trichobezoars:A 10-year experience","volume":"38","author":"Zamir","year":"2004","journal-title":"J Clin Gastroenterol"},{"key":"R10-20240402","first-page":"339","article-title":"The Rapunzel syndrome. 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