Images in Clinical Medicine

Trichobezoars

Farhad Navab, M.D., and Jennifer Sabol, M.D.

N Engl J Med 1997; 336:1721June 12, 1997

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Figure 1 A 27-year-old woman was admitted because of a three-day history of constant epigastric pain radiating to the back, associated with nausea and vomiting. For several years, as a result of an emotional disturbance, she had been eating her own hair. A large upper abdominal mass was palpable. An abdominal computed tomographic scan (Panel A) revealed a heterogeneous mass within the stomach (arrow), surrounded by contrast material and containing small amounts of interspersed gas. At laparotomy, three large hair balls (Panel B) were removed from the stomach, and a large gastric posterior penetrating ulcer was excised. The patient had an uneventful recovery. She received counseling and stopped eating her hair.

Farhad Navab, M.D.
Jennifer Sabol, M.D.
Baystate Medical Center, Springfield, MA 01199

Citing Articles (2)

Citing Articles

1. 1

   VN Sehgal, G Srivastava. (2006) Trichotillomania +- trichobezoar: revisited. Journal of the European Academy of Dermatology and Venereology 0:0, 060606032107003-???
   CrossRef

2. 2

   G Gayer. (1999) Bezoars in the stomach and small bowel — CT appearance. Clinical Radiology 54:4, 228-232
   CrossRef