case_images: PMC8170345_01
case_images: Hair loss in the patient.
case_images: 10.1177_2050313X211020220-fig1.jpg
case_images: PMC8170345_01_10.1177_2050313X211020220-fig1.jpg
case_images: fig1-2050313X211020220
case_images: Very sparse hair was noted throughout his scalp (Figure 1).
case_images: Upper GI with fluoroscopy.
case_images: 10.1177_2050313X211020220-fig2.jpg
case_images: PMC8170345_01_10.1177_2050313X211020220-fig2.jpg
case_images: fig2-2050313X211020220
case_images: Given this new piece of information, feeding intolerance, and exam findings of hair loss, an Upper gastrointestinal (GI) with fluoroscopy was performed and showed a 4.2 x 1.8 cm mobile filling defect in the gastric lumen, concerning for a gastric bezoar (Figure 2).
case_images: Endoscopic image of bezoar.
case_images: 10.1177_2050313X211020220-fig3.jpg
case_images: PMC8170345_01_10.1177_2050313X211020220-fig3.jpg
case_images: fig3-2050313X211020220
case_images: An endoscopy was performed to assist with removal of the bezoar through his G-tube, and the patient was found to have a 10 cm x 3 cm gastric bezoar consisting of hair, nail, and food material (Figure 3).
case_images: Removed trichobezoar.
case_images: 10.1177_2050313X211020220-fig4.jpg
case_images: PMC8170345_01_10.1177_2050313X211020220-fig4.jpg
case_images: fig4-2050313X211020220
case_images: After removal of the trichobezoar (Figure 4), the patient showed improvement in his fussiness, he was able to tolerate feeds without discomfort, and began to show consistent weight gain.