case_images: PMC4589580_01
case_images: 2012 upper GI study showing gastric bezoar (a); 2014 upper GI study showing gastric bezoar (b).
case_images: CRIM2015-806857.001.jpg
case_images: PMC4589580_01_CRIM2015-806857.001.jpg
case_images: fig1
case_images: The patient had previously presented at age 3 with abdominal pain, progressively poor oral intake, diarrhea, and emesis secondary to a gastric trichobezoar, confirmed on upper GI barium study, which required endoscopic removal (Figure 1). The patient's recurrence of trichobezoar was confirmed by contrasted upper GI series and a small bowel follow-through revealing a mobile, mottled filling defect in the stomach (Figure 1).
case_images: Trichobezoar visualized on endoscopy.
case_images: CRIM2015-806857.002.jpg
case_images: PMC4589580_01_CRIM2015-806857.002.jpg
case_images: fig2
case_images: The patient was taken to the operating room for endoscopic retrieval of the bezoar (Figure 2).
case_images: Mass effect of trichobezoar being pulled up (a) and pushing against the posterior tracheal wall causing extubation (b).
case_images: CRIM2015-806857.003.jpg
case_images: PMC4589580_01_CRIM2015-806857.003.jpg
case_images: fig3
case_images: More specifically, the bezoar in the esophagus pressed anteriorly on the posterior tracheal wall and created a mass effect (Figure 3).