Trichobezoar: A Rare Cause of Protein-losing Enteropathy. JPGN Rep 2023 May;4(2):e310
Date
05/18/2023Pubmed ID
37200722Pubmed Central ID
PMC10187844DOI
10.1097/PG9.0000000000000310Abstract
Protein-losing enteropathy (PLE) is caused by protein loss through the gastrointestinal tract which results in hypoalbuminemia. The most common causes of PLE in children include cow milk protein allergy, celiac disease, inflammatory bowel disease, hypertrophic gastritis, intestinal lymphangiectasia, and right-sided heart dysfunction. We present a case of a 12-year-old male with bilateral lower extremity edema, hypoalbuminemia, elevated stool alpha-1-antitrypsin, and microcytic anemia. He was found to have a trichobezoar in the stomach extending to the jejunum, an unusual cause of PLE. The patient underwent an open laparotomy and gastrostomy to remove the bezoar. Follow-up confirmed resolution of hypoalbuminemia.
Author List
Bashir A, Tejada AG, Oldham KT, Thakrar PD, Lerner DGAuthors
Diana Lerner MD Professor in the Pediatrics department at Medical College of WisconsinPooja Thakrar MD Associate Professor in the Radiology department at Medical College of Wisconsin
