Presentation
Abdominal pain, indigestion and a palpable mass in the right iliac fossa.
Patient Data
Long segment filling defect in the distal ileum measuring 30 cm in length, resulting in proximal small bowel obstruction with a diameter of 6.2 cm. Some intervening small bowel loops are collapsed. The large bowel is not distended.
The lesion demonstrates T2 hypointensity and mainly T1 hypointensity. The minimal T1 hyperintensity is unchanged on T1 fat-saturated images. No restricted diffusion. This represents MRI characteristics of hair bezoar.
Trichobezoar within the stomach.
The surgical specimen.
Case Discussion
Findings in keeping with trichobezoar also known as Rapunzel syndrome. Post MRI, a distant history of trichophagia as a teenager was elucidated by the radiologist. Gastroscopy demonstrated a large trichobezoar within the stomach, unable to be retrieved. Subsequent laparotomy with successful removal of the gastric and distal ileum trichobezoars.
Unable to process the form. Check for errors and try again.