Indian J Gastroenterol DOI 10.1007/s12664-015-0553-8

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Trichobezoar: Unusual cause of epigastric mass Soufiane Belabbes 1 & Taoufik Lamsiah 2 & Brahim Zainoun 1 & Abdelkrim Choho 3 & Mourad Drissi 1

# Indian Society of Gastroenterology 2015

A trichobezoar is an intraluminal mass formed by the agglomeration of hair associated with food remains, usually located in the stomach [1]. It is mostly seen in women less than 30 years who eat their hair compulsively. This condition, trichotillophagia, is considered a subtype of pica and is usually associated with other psychiatric disorders [2]. Shown here: (Fig. 1) the abdominal computed tomography (CT) scan of a 14-year-old girl with a 4-month history of intermittent epigastric pain, vomiting, and weight loss revealing a firm epigastric mass. Esophagogastroduodenoscopy confirmed the diagnosis of trichobezoar and at surgery, 800 g of agglomerate hair was removed (Fig. 2).

Fig. 1 Coronal view of abdominal contrast-enhanced CT showing a large heterogeneous, non-enhancing intraluminal gastric mass with air bubbles (arrows) * Soufiane Belabbes [email protected] 1

Department of Radiology, Military Teaching Hospital Moulay Ismali Meknes, Meknes, Morocco

2

Department of Medicine, Military Teaching Hospital Moulay Ismali Meknes, Meknes, Morocco

3

Department of Surgery, Military Teaching Hospital Moulay Ismali Meknes, Meknes, Morocco

Indian J Gastroenterol Fig. 2 a Gastroscopy showing an agglomerate of hair (black arrows) associated with food remains in the stomach. b Trichobezoar removed by surgery

References 1.

Ziadi T, En-nafaa I, Lamsiah T, Abilkacem EH, Hanine A, Hoummadi A. Epigastric mass. Rev Med Interne. 2011;32:445–6.

2.

Tiago S, Nuno M, João A, Carla V, Gonçalo M, Joana N. Trichophagia and trichobezoar: case report. Clin Pract Epidemiol Ment Health. 2012;8:43–5.