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
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.
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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