Gastric Perforation in the Postpartum Revealing Trichobizoar: A Case Report and Literature Review

Case Report Trichobezoars are a collection of hair or hair-like material within the gastrointestinal tract Clinically asymptomatic. This observation describes trichobezoar illustrated by gastric perforation occurring in the post partum period. An 35years-old multiparous woman, she previously presented in active labour and spontaneaously give birth to a stillborn baby. There was no past of depression or anxiety. Three days later the woman presented to the emergency departement with a sudden onset of upper abdominal pain and vomiting. Clinically, she was throught to have peritonitis. Peroperative exploration reveals a large gastric perforation, the stomach was noted to be enlarged by a firm, uniform mass. This later was identified as a trichobezoar. Trichobezoar is a rare entity which generally presents insidiously with non-specific abdominal symptoms. After the exclusion of more common etiologies, trichobezoar should be considered in all young females presenting with symptoms of gastrointestinal obstruction.