A young girl with huge trichobezoar

A female aged 22 years Chief Complaints Pain Abdomen (LUQ) Vomiting (x 1 month) Physical Examination Vague lump LUQ (not moving with respiration) Investigations UGIE

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Endoscopy showing huge lump made of ? hair in the stomach and it is acase of huge trichobezoar . It happens with psychotric patient ( trichotillomania) Management As this is huge lump so endoscopic removal may not be possible and endoscopic result is poor about 5% so ideally it is better to for laparotomy.

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Yes pt seems to be habitual of swallowing hairs as ball of hairs seen in stomach is TRICoBEZoar Either removed endoscopically or adv laproscopic laprotomy

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Collection of hair ball in stomach Remove endoscopicaly Rare case common in cow

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Yes sir I agree your opinion

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Diseases Related to Discussion

Psychotic
Trichotillomania