Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032


Bünyamin Gürbulak1, Özgür Seğmen1, Taşkın Rakıcı2, Kenan Büyükaşık1, Mazlum Yavaş1

1Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey
2Clinic of Radiodiagnosis, İstanbul Training and Research Hospital, İstanbul, Turkey

Keywords: Bezoar, trichobezoar, closed-perforation of stomach, gastric outlet obstruction


A bezoar is a mass formed because of the accumulation of indigestible material in the stomach and/or small intestine. Bezoars are rare but occasionally occur with acute abdomen findings. Bezoars form as a result of changes in the gastrointestinal system anatomy and physiology and repetitive exposure to the ingested material. These materials can include vegetables with high fiber content (phytobezoars), non-animal origin fats, hair (trichobezoars), or drugs such as anti-acids (pharmobezoars). Gastric bezoars frequently occur after gastric surgery. Psychiatric disorders such as trichotillomania (an irresistible urge to remove and swallow one’s own hair) are frequently the underlying reason in patients without a history of gastric surgery. In this article, we presented a giant gastric trichobezoar obstructing outlet and causing closed-perforation and abscess formation of gastric fundus in a 30-year-old woman.

Cite this paper as: Gürbulak B, Seğmen Ö, Rakıcı T, Büyükaşık K, Yavaş M. Closed-perforation of gastric fundus and gastric outlet obstruction caused by a giant gastric trichobezoar: A case report. Turk J Surg 2017; 33: 230-232.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - B.G.; Design - B.G., K.B.; Supervision - B.G., Ö.S.; Funding - B.G., Ö.S., T.R.; Materials - B.G.; Data Collection and/or Processing - B.G., Ö.S., M.Y.; Analysis and/or Interpretation - B.G., Ö.S., T.R., K.B., M.Y.; Literature Review - B.G., Ö.B., T.R., K.B., M.Y.; Writer - B.G., Ö.S.; Critical Review - B.G., Ö.S., T.R., K.B., M.Y.; Other - B.G., Ö.S., T.R.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.