Trichobezoar

Case contributed by Dr Laughlin Dawes

Presentation

Chronic pain in epigastric region. Her mother gave a positive history of seeing hairs in her mouth during wake-up time. The behaviour and mental scoring was normal.

Patient Data

Age: 15
Gender: Female
Modality: CT

CT shows a large mass of heterogenous material in stomach which is probably a combination of hairs and trapped food.

Case Discussion

Bezoars are known to cause small bowel obstruction and sometimes CT may demonstrate the bezoar as a mass in the obstructed segment of bowel. The bezoar may be outlined by fluid in the proximally dilated small bowel, and the mass may be mottled owing to air trapped within it. Types of bezoar:

  • trichobezoar is a bezoar formed from hair - this has also been called Rapunzel syndrome
  • phytobezoars are composed of nondigestible food material (e.g. cellulose) and are frequently reported in patients with impaired digestion and decreased gastric motility
  • pharmacobezoars (or medication bezoars) are mostly tablets or semi-liquid masses of drugs

Credit: Dr Abhijit Datir 

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Case Information

rID: 35828
Case created: 24th Apr 2015
Last edited: 6th Nov 2015
Inclusion in quiz mode: Included

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