title: Cows-feet soup: a rare cause of recurrent trichobezoar.
abstract: A 45-year-old Afro-Caribbean woman attended the emergency department with worsening dysphagia, abdominal distension, abdominal pain, shortness of breath and generalised weakness. She enjoyed preparing and eating cows-feet stew and preferred to cook the meat with the hair and skin intact. On admission she had a severe microcytic anaemia and was malnourished. Abdominal x-ray and CT revealed a large gastric bezoar. At gastrotomy a foul-smelling 2.42 kg mass of hair, leathery skin and altered food were evacuated from the lesser curvature of the stomach. She had undergone the same procedure 8 years earlier to remove a similar trichobezoar. Following psychiatric review it was deemed that the patient had no underlying psychiatric condition and had full insight into why her trichobezoar had re-occurred. She made a good postoperative recovery and stopped eating cows-feet stew.
authors: Department of Surgery, Homerton University Hospital NHS Foundation Trust, London, UK. miles.kiernan@doctors.org.uk
authors: Miles Finbar
authors: MF
authors: Kiernan
authors: Sachin
authors: S
authors: Kamat
authors: Femi
authors: F
authors: Olagbaiye
mesh_terms: D000818:Animals; D001630:Bezoars / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D002417:Cattle; D005260:Female; D005502:Food; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D013270:Stomach