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Tarchouli M, Ait Idir B, Bouhabba N, El Jaouhari SD, Salaheddine T, Hnach Y, Zentar A. A huge abdominal mass revealing a depressive syndrome. Ann R Coll Surg Engl 2021; 103:e77-e80. [PMID: 33645270 DOI: 10.1308/rcsann.2020.7093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Trichobezoar is a rare condition that occurs mostly in young women with psychiatric disorders such as trichotillomania and trichophagia. We report the case of a giant gastric trichobezoar in a 21-year-old woman who presented with chronic abdominal pain, vomiting and weight loss. Abdominal examination revealed a large epigastric mass. Endoscopic and imaging findings were highly suggestive of a gastric trichobezoar. Surgical extraction of the huge hair mass was successfully performed through an open gastrotomy. Postoperatively, history of a neglected chronic depression with suicidal ideation was diagnosed. Consequently, the patient was referred to the psychiatric department for mental healthcare, to prevent trichobezoar recurrences.
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Affiliation(s)
- M Tarchouli
- Department of Surgery, First Medical and Surgical Center, Agadir, Morocco.,Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - B Ait Idir
- Department of Surgery, First Medical and Surgical Center, Agadir, Morocco.,Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - N Bouhabba
- Department of Anesthesiology-Reanimation, First Medical and Surgical Center, Agadir, Morocco.,Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco
| | - S D El Jaouhari
- Department of Anesthesiology-Reanimation, First Medical and Surgical Center, Agadir, Morocco.,Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco
| | - T Salaheddine
- Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco.,Department of Radiology, First Medical and Surgical Center, Agadir, Morocco
| | - Y Hnach
- Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco.,Department of Gastroenterology, First Medical and Surgical Center, Agadir, Morocco
| | - A Zentar
- Department of Visceral Surgery, Mohammed V Military Teaching Hospital, Rabat, Morocco.,Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
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El Jaouhari SD, Mamane Nassirou O, Meziane M, Bensghir M, Haimeur C. [Gas tamponade following intraoperative pneumothorax on a single lung: A case study]. Rev Pneumol Clin 2017; 73:90-95. [PMID: 28259372 DOI: 10.1016/j.pneumo.2017.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 12/24/2016] [Accepted: 01/21/2017] [Indexed: 06/06/2023]
Abstract
Intraoperative pneumothorax is a rare complication with a high risk of cardiorespiratory arrest by gas tamponade especially on a single lung. We report the case of a female patient aged 53 years who benefited from a left pneumonectomy on pulmonary tuberculosis sequelae. The patient presented early postoperative anemia with a left hemothorax requiring an emergency thoracotomy. In perioperative, the patient had a gas tamponade following a pneumothorax of the remaining lung, and the fate has been avoided by an exsufflation. Intraoperative pneumothorax can occur due to lesions of the tracheobronchial airway, of the brachial plexus, the placement of a central venous catheter or barotrauma. The diagnosis of pneumothorax during unipulmonary ventilation is posed by the sudden onset of hypoxia associated with increased airway pressures and hypercapnia. The immediate life-saving procedure involves fine needle exsufflation before the placement of a chest tube. Prevention involves reducing the risk of barotrauma by infusing patients with low flow volumes and the proper use of positive airway pressure, knowing that despite protective ventilation, barotraumas risk still exists.
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Affiliation(s)
- S D El Jaouhari
- Pôle anesthesie-réanimation, hôpital militaire d'instruction Mohammed V (HMIMV), faculté de médecine et de pharmacie,université Mohammed V Souissi, Rabat, Maroc.
| | - O Mamane Nassirou
- Pôle anesthesie-réanimation, hôpital militaire d'instruction Mohammed V (HMIMV), faculté de médecine et de pharmacie,université Mohammed V Souissi, Rabat, Maroc
| | - M Meziane
- Pôle anesthesie-réanimation, hôpital militaire d'instruction Mohammed V (HMIMV), faculté de médecine et de pharmacie,université Mohammed V Souissi, Rabat, Maroc
| | - M Bensghir
- Pôle anesthesie-réanimation, hôpital militaire d'instruction Mohammed V (HMIMV), faculté de médecine et de pharmacie,université Mohammed V Souissi, Rabat, Maroc
| | - C Haimeur
- Pôle anesthesie-réanimation, hôpital militaire d'instruction Mohammed V (HMIMV), faculté de médecine et de pharmacie,université Mohammed V Souissi, Rabat, Maroc
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