Epigastric mass in a young girl: trichobezoar. Imaging diagnosis.
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.
Sharma
Umesh Kumar
UK
Department of Radiodiagnosis, Kathmandu University Teaching Hospital, Dhulikhel, Nepal. druksharma@hotmail.com
Sharma
Yubaraj
Y
Chhetri
Raj Kumar
RK
Makaju
Ram Kantha
RK
Chapagain
Suman
S
Shrestha
Rohit
R
D000293:Adolescent; D001630:Bezoars / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005260:Female; D005549:Foreign-Body Reaction; D006197:Hair; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D013272:Stomach Diseases; D014256:Trichotillomania / Q000150:complications*