Case Blog

A Stomach in the Stomach: A Huge Trichobezoars in Young Female

Ehab F Moustafa1*, Sahar M Hassany1 and Bashir A Fadel2
1Tropical Medicine and Gastroenterology Department, Al-Rajhy liver and Gastroenterology Hospital, Assiut University, Egypt
2Hepato-biliary Surgery Department, Al-Rajhy liver and Gastroenterology Hospital, Assiut University, Egypt


*Corresponding author: Ehab F Moustafa, Tropical Medicine and Gastroenterology Department, Al-Rajhy liver and Gastroenterology Hospital, Assiut University, Egypt


Published: 04 Oct, 2017
Cite this article as: Moustafa EF, Hassany SM, Fadel BA. A Stomach in the Stomach: A Huge Trichobezoars in Young Female. Ann Med Case Rep. 2017; 1: 1025

Case Blog

An 18-year-old female patient presented by vomiting of 2 years duration related to meals, progressive course and associated with loss of weight. On examination she was pale and under build. Abdominal examination revealed epigastric mass 13 cm × 8 cm, soft in consistency with l'll define border. Abdominal ultrasound showed dilated stomach with contents inside. Abdominal CT suggested gastric Trichobezoars (Figure 1). Upper Endoscopy revealed huge gastric trichobezoars start just below cardia with multiple min ulcers. Laparotomy was done and stomach like trichobezoars removed (Figure 2). After recovery patient stopped vomiting and start body gain. Patient refused psychiatric consultation.


Figure 1

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Figure 1
Abdominal CT suggested gastric Trichobezoars.

Figure 2

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Figure 2
After laprotomy, removal of stomach like trichobezoars.