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NEJM Image of the Week: Trichobezoar!

An unbelievable case from the New England Journal of Medicine:

A previously healthy 18-year-old woman presented with a 5-month history of pain in the left upper quadrant of the abdomen, abdominal distention, postprandial emesis, and weight loss of 18 kg… Esophagogastroduodenoscopy revealed a large bezoar occluding nearly the entire stomach, without extension into the duodenum. On questioning, the patient stated that she had had a habit of eating her hair for many years — a condition called trichophagia. Laparoscopic removal was attempted; however, conversion to an open procedure was required to completely remove the 4.5-kg trichobezoar… One year after the surgery, she has no abdominal pain or vomiting. She has regained approximately 9 kg of body weight and reports that she has stopped eating her hair.

nejm-hair.jpeg

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9 Comments Post a comment
  1. O M G, that is unbelievable :0

    Thanks for sharing.

    November 23, 2007
  2. Shocking! It’s a good thing though that the entire hairy mass was removed. Did you think this could have lead to something more serious if this wasn’t removed?

    December 5, 2007
  3. It has already caused some serious problems to her.

    December 6, 2007
  4. cheryl saigeon #

    i think i have a tricobeozar right now.i have had trichotillomania for years now and i also ingest my hair.i have had some mild symptoms but no weight loss as i have no thyroid.but i feel hard cramps in my abdomen and it reaches as far as my anal cavity.dr.s tell me i have no indication hat i have one and that i just ahave a belly.

    December 29, 2008
  5. eva and eva #

    my nu did that for a number of years and is causes severe depression and pain. i think that if anyone thinks that they have that problem they should immediately go to a psychologist or psychiatrist.

    January 5, 2011
    • elise #

      did you say , my MUM

      January 5, 2011
  6. eva and eva #

    yeah sorry

    January 5, 2011
  7. hello!,I really like your writing so a lot! percentage we be in contact extra approximately your article on AOL?
    I require a specialist on this house to resolve my
    problem. Maybe that is you! Having a look forward to see you.

    September 13, 2012

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  1. Blee… bezoar « miggawki

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