A 23-year-old woman with history of eating disorder, complains of vomiting, nausea & severe abdominal pain. Physical examination shows abdominal distension and constipation. An X-ray film of the abdomen reveals air-fluid levels and a hyperlucent shadow at the epigastric area. The material obstructing the gastrointestinal tract is removed surgically and shown. Which of the following is the most likely diagnosis?
Diveiculum of the stomach
Gastric lymphoma
Phytobezoar
Trichobezoar
- Given image shows hairball with gelatinous matrix, which point towards diagnosis of Trichobezoar - Bezoars are foreign bodies in stomach that are composed of food/ hair that have been altered by digestive process. - Trichobezoar is usually seen in long-haired girls/ young women who eat their own hair as a nervous habit (trichotillomania; also called "Rapunzel" syndrome). - Phytobezoars (choice C) are concretions of plant material, which usually occur in persons with conditions that interfere with gastric emptying.
Stomach