Approach and Decision-Making in a 6-Year-Old with a Large Trichobezoar

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Conference Proceeding - Restricted Access

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A 6-year-old boy with a past medical history of PICA presented with a several-month history of crampy abdominal pain, burping, and foul breath. X-rays showed a mass in the stomach, and an upper GI endoscopy showed a large trichobezoar. Removal was attempted during the upper GI endoscopy but it was too large to remove as it was feared that it probably wouldn't have fit through the esophagus. The patient returned 1 week later to have it removed surgically with a robot-assisted gastrotomy. With this case, we will discuss the treatment options and decision-making in removing large gastric bezoars.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.