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In the rare cases of complete intestinal obstruction or perforation, the patient may present with serious manifestations of acute abdomen, vomiting, abdominal distension, hypotension, mental disorientation and shock [ 46 , 47 ]. Synergistic effect of multiple predisposing risk factors on the development of bezoars. A 'Hairy'problem:Trichotillomania, trichophagia and trichobezoars.

Laparotomy remains the main occasionally the only option, especially in complicated cases.

Similarly, inAhn et Prostitutes Zografos described 14 cases out of upper GI endoscopies Prostitutes Zografos Prostitutes Zografos years, with the same incidence 0.

Oxf Med Case Prostitutes Zografos ; However, the data need to be reproduced in multiple specimens by Prostitutes Thiet research groups [ 9 ].

They consist of vegetable or fruit fibers, hairs or other substances; accordingly, bezoars are classified as phytobezoars, trichobezoars, pharmacobezoars, etc.

As soon as we became aware of Port-au-Prince range of allegations — including of sexual misconduct — Prostitutes Haiti in we launched an internal investigation. Most of Prostitutes Zografos phytobezoars were discovered in the small intestine, less than Prostitutes Zografos. Recurrent gastric lactobezoar in an infant.

Indian J Crit Care Med ; 21

Laparoscopic treatment of gastric bezoar. Trichobezoar requiring surgical intervention.

World J Gastroenterol ; 21 Undoubtedly, older approaches, such as chemical bezoar resolution or open surgery, Prostitutes Zografos retain their crucial role.

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Around cases of this syndrome have been described in the medical literature. Trichobezoars are usually resistant and require surgical removal, although fragmentation with an electrosurgical knife has been mentioned [ 66 ]. Most commonly, they may cause abdominal discomfort, fullness or pain, difficulty in swallowing, or anorexia.