Perfuração gástrica secundária a tricobezoar gigante: descrição de caso e revisão da literatura

Gastric perforation caused by giant trychobezoar: a case report and a review of the literature

Bezoars-complication; Intestinal perforation; Gastrostomy

RELATOS DE CASOS

Perfuração gástrica secundária a tricobezoar gigante: descrição de caso e revisão da literatura

Gastric perforation caused by giant trychobezoar: a case report and a review of the literature

Clementino Zeni Neto, TCBC-PR^I; Júlio Cezar Uili Coelho, TCBC-PR^II; Antonio Carlos Ligocki Campos, TCBC-PR^III; Osvaldo Malafaia, TCBC-PR^III; Paolo Rogério de Oliveira Salvalaggio^IV

^IMédico da Disciplina de Cirurgia do Aparelho Digestivo do Hospital de Clínicas da UFPR

^IIProfessor Titular e Coordenador da Disciplina de Cirurgia do Aparelho Digestivo da UFPR

^IIIProfessor Titular da Disciplina de Cirurgia do Aparelho Digestivo da UFPR

^IVResidente de Cirurgia Geral do Hospital Nossa Senhora das Graças - Curitiba - PR

^{Endereço para correspondência}

ABSTRACT

Gastric bezoars are impactations offoreign material in lhe stomach. When they are caused by hail; they are named tricho- bezoars. The complications oftrichobezoars are very rare. In this papel; we describe a case of a 16-year-old girl that had a previous history oftricophagia, and had an acute abdominal pain with a pneumoperitoneum in the abdomen radiography. An operation was performed and a gastric perforation was founded associated with a giant trichobezoa7: The trichobezoar was removed by traction through a gastrostomy which was performed in order to remove lhe trichobezoa7: Some fragments of the ulcer were obtained to histological study. The gastrostomy was treated by a gastrorraphy confection. In lhe post- operative period a left subfrenic abscess was revealed and has been drained by laparatomy 15 days after the fisrt operation. After the second surgical procedure the patient had a good evolution, and left the hospital in good health conditions.

Key words: Bezoars-complication; Intestinal perforation; Gastrostomy.

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Recebido em 30/7/97

Aceito para publicação em 24/11/97

Trabalho realizado na Disciplina de Cirurgia do Aparelho Digestivo do Hospital de Clínicas da Universidade Federal do Paraná.

• ¹
  Coelho JCU, Madureira Filho D. Bezoar. In: Coelho JCU (ed). Aparelho Digestivo. Clínica e Cirurgia, 2ª edição, MEDSI, 1996,p.321-3.
• ²
  Wadlington WB, Rose M, Holcomb GW, et al. Complications of trichobezoars: A 30- Year experience. South Med J 1992;85: 1.020-2.
• 3. Zeni Neto C, Coelho JCU, Salvalagio PRO, et al. Tricobezoar e síndrome de Rapunzel: Apresentaçăo de um caso e revisăo da literatura. Rev Col Bras Cir 1996;23:25-97.
• 4. Sharma V, Sharma ID. Intestinal trichobezoar with perforation in a child. J Ped Surg 1992;27:518-9.
• 5. Rodriguez Cuartero A, González Martinéz F. Perforácion gástrica por bezoar. Rev Esp Enferm Dig 1994;86:558-9.

Endereço para correspondência:

Dr. Clementino Zeni Neto

Hospital Clínicas da UFPR

Serv. Cir. Aparelho Digestivo

Rua Gal. Carneiro, 181 - 7° andar

80060-150 - Curitiba - PR

Datas de Publicação

• Publicação nesta coleção
  05 Ago 2010
• Data do Fascículo
  Abr 1998

Histórico

• Aceito
  24 Nov 1997
• Recebido
  30 Jul 1997