title: Epigastric mass in a young girl: trichobezoar. Imaging diagnosis.
abstract: 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.
authors.affiliation: Department of Radiodiagnosis, Kathmandu University Teaching Hospital, Dhulikhel, Nepal. druksharma@hotmail.com
authors.forename: Umesh Kumar
authors.initials: UK
authors.lastname: Sharma
authors.forename: Yubaraj
authors.initials: Y
authors.lastname: Sharma
authors.forename: Raj Kumar
authors.initials: RK
authors.lastname: Chhetri
authors.forename: Ram Kantha
authors.initials: RK
authors.lastname: Makaju
authors.forename: Suman
authors.initials: S
authors.lastname: Chapagain
authors.forename: Rohit
authors.initials: R
authors.lastname: Shrestha
mesh_terms: 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*