case_images: PMC10117021_01
case_images: Abdominal ultrasound: Intraluminal material of an ileal loop in the form of a hyperechoic crescent with posterior shadow cone
case_images: AJPS-20-71-g001.jpg
case_images: PMC10117021_01_AJPS-20-71-g001.jpg
case_images: F1
case_images: An abdominal ultrasound was performed [Figure 1]; it demonstrated an endoluminal hyperechoic arch in a small sub-umbilical loop generating a posterior shadow cone with distension of the upstream hailstones.
case_images: Abdomino-pelvic computed tomography scan: Distension of the small-bowel (red arrow) upstream of a hairless, oval endoluminal mass, of heterogeneous density, surrounded by a dense border closing containing air bubbles, unchanged after contrast in relation to the trichobezoar (yellow arrow)
case_images: AJPS-20-71-g002.jpg
case_images: PMC10117021_01_AJPS-20-71-g002.jpg
case_images: F2
case_images: We completed the assessment by an abdomino-pelvic computed tomography (CT) scan before and after injection of iodinated contrast product (PDC I) [Figure 2]; she objectified a flat colon, a distension of the loops measuring 30 mm in diameter upstream of a transition zone corresponding to an intraluminal formation in a pelvic ileal loop, oval, well delimited by a spontaneously dense border, containing trapped air bubbles.
case_images: Abdomino-pelvic computed tomography scan: Gastric trichobezoar (yellow arrows)
case_images: AJPS-20-71-g003.jpg
case_images: PMC10117021_01_AJPS-20-71-g003.jpg
case_images: F3
case_images: A similar picture was identified in the stomach [Figure 3].
case_images: The consequence of hair pulling in the frontal region of the scalp hair
case_images: AJPS-20-71-g004.jpg
case_images: PMC10117021_01_AJPS-20-71-g004.jpg
case_images: F4
case_images: The re-interrogation has rediscovered the notion of trichotillomania [Figure 4] and trichophagia comforting the diagnosis of trichobezoar.
case_images: Gastrotomy and the surgical specimen of the gastric trichobezoar
case_images: AJPS-20-71-g005.jpg
case_images: PMC10117021_01_AJPS-20-71-g005.jpg
case_images: F5
case_images: The patient was urgently operated; the procedure consisted of removing the small intestine obstacle and the gastric trichobezoar by gastrotomy [Figure 5].