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- W2914577576 abstract "Purpose: We report a case of a 28-year-old female who presented to emergency department with excruciating epigastric pain that started after she felt a pop in her stomach. The pain was stabbing in nature and associated with feeling of nausea. Prior to this episode, she reported history of intermittent abdominal pain for a period of few months. Her past history was unremarkable, but her mother and husband reported later that they had stopped her from pulling and eating her own hair. She was married, had 2 children and gave no history of any mental illness. A physical examination revealed guarding and rigidity in the epigastric region. Abdominal computed tomography showed free air under the diaphragm (blue arrow), a break in the anterior gastric wall (green arrow) and a large heterogeneous mass in the stomach (yellow arrow) in Figure 1. An initial diagnosis of foreign body/bezoar with perforated ulcer was made. Patient underwent emergent lapartomy which revealed a large trichobezoar (Fig. 2) and a perforation on the anterior wall of the stomach. The bezoar was extracted through an anterior longitudinal gastrotomy. Both the gastrotomy and the perforation were then sutured with regional omental patch. The postoperative period was uneventful. Trichobezoar is a rare diagnosis. Our case is unique as the patient described is a healthy woman with no psychiatric or surgical history. Vague, low grade abdominal pain is a common complaint and clinicians may tend to overlook it. This case emphasizes need for thorough work up in cases of vague unrelenting abdominal pain.[figure1][figure2]FigureFigure" @default.
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- W2914577576 date "2007-09-01" @default.
- W2914577576 modified "2023-09-26" @default.
- W2914577576 title "Gastric Perforation Due to a Trichobezoar in a Normal Healthy Woman" @default.
- W2914577576 doi "https://doi.org/10.14309/00000434-200709002-00463" @default.
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