Laparoscopic removal of a large gastric trichobezoar in a 4-year-old girl

Jessica Cintolo, Dana A. Telem, Celia M. Divino, Edward H. Chin, Peter Midulla

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Background: Standard treatment of large gastric bezoars not amenable to medical or endoscopic management is surgical removal. The optimal operative approach, laparotomy versus laparoscopy, is a contested subject. Though laparoscopic removal has been described, it remains a relatively new technique for surgical management with outcome literature limited to case reports. In addition, currently described laparoscopic techniques often involve limited midline laparotomy incisions or >3 cm extensions of port sites. Methods: The following describes the case of a 4-yearold girl with a large gastric trichobezoar. Results: The gastric trichobezoar was successfully removed through a 12-mm left lower quadrant trocar incision cosmetically hidden within a skin crease. Conclusion: This case, along with accumulating literature, supports the use of laparoscopy to treat large gastric bezoars.

Original languageEnglish
Pages (from-to)608-611
Number of pages4
JournalJournal of the Society of Laparoendoscopic Surgeons
Issue number4
StatePublished - Oct 2009


  • Bezoar
  • Laparoscopy
  • Trichobezoar


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