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case_images: Upper gastrointestinal endoscopy showing large mass of hairball almost completely filling the stomach
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case_images: Abdominal ultrasound showed over distended stomach with slow gastric emptying (Fig. 1).
case_images: Intraoperative image of trichotellomania involving the entire stomach.
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case_images: The ECG and Xray chest findings were normal as preoperative tests. The patient was then planned for surgery for the lump excision (Fig. 2) and post operatively the patient was discharged and advised for routine followup.
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case_images: Fully excised gastric trichobezoar composed of hair and hair follicles extensions casted in the shape of stomach (20 x 13.5 x 9 cms).
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case_images: On microscopic examination, hair follicles were only seen (Fig. 3).