Gastroduodenal trichobezoar is infrequent. Its diagnosis is easy in the presence of an evocative context. Patients with this condition often have an underlying psychiatric illness and history may not ...be easily forthcoming. We report a classic case of a 17 year-old patient admitted with acute abdominal pain, vomiting, an upper abdominal mass and anemia. Abdominal computed tomography (CT) scan suggested the diagnosis of bezoar. Surgical removal of trichobezoar by gastrotomy was performed without complications. Preoperative blood transfusion was admitted, the patient was referred to the department of psychiatry.
Background: A monocentric study was undertaken in order to study the morbidity of cholecystectomy by low-impact laparoscopy in sickle cell children with asymptomatic vesicular lithiasis, and to bring ...the relevance of a clinical pathway with selective preoperative transfusion exchange in the prevention of alloimmunization. Method: Over a period of 7 years, between July 2011 and August 2018, 44 consecutive sickle cell children were surgically treated for their cholelithiasis. During the first phase of the study, 22 children had a systematic transfusion exchange. For the next 22 children, from January 2016, a selective transfusion exchange protocol was applied. Results: Microcœlioscopy was converted into laparoscopy. No perioperative complication occurred in patients after a transfusion exchange. The selective exchange protocol reduced the number of transfusions by 77.28 %. Acute thoracic crisis occurred on day 1 in one of the non-transfused patients requiring postoperative transfusion. Conclusion: A transfusion exchange was performed selectively. Only laparoscopic cholecystectomy was performed under general anesthesia. Acute thoracic crisis occurred on day 1 in one of the non-transfused patients requiring postoperative transfusion.
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