Epigastric mass in a young girl: trichobezoar. Imaging diagnosis.

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Date
2006-09-06
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Abstract
A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. Upper GI endoscopy showed a large intragastric mass composed of hair. The CT scan showed a gastric mass extending to the duodenum. She was managed by surgical removal. A large gastric trichobezoar extending upto the jejunum was found. This case highlights the characteristic radiological appearance on barium, ultrasound and computed tomography of a bezoar within the stomach and a trichobezoar with a long tail extending upto the jejunum without intestinal obstruction is unusual.
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Nepal Medical College Journal.
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Citation
Sharma UK, Sharma Y, Chhetri RK, Makaju RK, Chapagain S, Shrestha R. Epigastric mass in a young girl: trichobezoar. Imaging diagnosis. Nepal Medical College Journal. 2006 Sep; 8(3): 211-2