<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022022000400064</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tricobezoar gástrico gigante: reporte de un caso clínico-patológico]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant gastric trichobezoar: a clinical-pathological case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilela-Desposorio]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabanillas-Tarazona]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Belén Servicio de Patología Quirúrgica ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Trujillo Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Belén Servicio de Psicología ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Privada Antenor Orrego Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>64</volume>
<numero>4</numero>
<fpage>64</fpage>
<lpage>68</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022022000400064&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022022000400064&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022022000400064&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Un tricobezoar es una masa compacta de pelo que se aloja generalmente en el estómago. Es frecuente en mujeres jóvenes que comen su propio pelo (tricofagia) debido a trastornos psicológicos. Presentamos el caso de una adolescente de 13 años de edad quien es traída por emergencia por presentar dolor abdominal persistente desde hace 3 días. La ecografía abdominal fue sugestiva de tricobezoar, hallazgo que fue confirmado mediante una endoscopia digestiva alta. Desde hace dos años antes de su ingreso, presentaba, masticación de cabello y consumo del mismo que asocia a viaje de su hermano al extranjero y a la separación de sus padres. Al noveno día, se realizó laparotomía exploratoria con gastrostomía extrayendo tricobezoar gástrico, que en el estudio anatomopatológico pesó 1033,8 g y midió 31,5 x 18 cm. en sus dimensiones mayores. Estos casos son sumamente raros. En nuestro caso el tricobezoar alcanzó el tamaño más grande de los hasta ahora reportados. Contradictoriamente la sintomatología fue mínima.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A trichobezoar is a compact mass of hair that is usually stored in the stomach. It is common in young women who eat their own hair (trichophagia) due to psychological disorders. We present the case of a 13-year-old teenager who had been brought in an emergency for having persistent abdominal pain for 3 days. Abdominal ultrasound was suggestive of trichobezoar, a finding that was confirmed by upper gastrointestinal endoscopy. For two years before her admission, she had chewed her hair and consumed it, which she associated with her brother&#8217;s trip abroad and the separation of her parents. On the ninth day, an exploratory laparotomy with gastrostomy was performed, extracting gastric trichobezoar, which in the anatomopathological study weighed 1033.8 g. and measured 31.5 x 18 cm. in its larger dimensions. These cases are extremely rare. In our case, the trichobezoar reached the largest size of those reported so far. Contradictorily, the symptoms were minimal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tricobezoares]]></kwd>
<kwd lng="es"><![CDATA[Tricotilomanía]]></kwd>
<kwd lng="es"><![CDATA[Bezoares]]></kwd>
<kwd lng="es"><![CDATA[gástrico]]></kwd>
<kwd lng="en"><![CDATA[Trichobezoars]]></kwd>
<kwd lng="en"><![CDATA[Trichotillomania]]></kwd>
<kwd lng="en"><![CDATA[Bezoars]]></kwd>
<kwd lng="en"><![CDATA[gastric]]></kwd>
</kwd-group>
</article-meta>
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