Trichobezoar

Case contributed by Aditya Shetty
Diagnosis almost certain

Presentation

Mental retardation; alopecia; decrease in appetite for a few months.

Patient Data

Age: 15
Gender: Female
Fluoroscopy

A spot film on fluoroscopic study shows a barium filled stomach with mutiple areas of filling defects giving a mottled appearance.

Case Discussion

Case of trichobezoar

Patient had a history of ingestion of hair which initially went unnoticed.

Alopecia was the clue.

Commonly seen in psychiatric patients.

Can be a cause of obstruction.

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