PMC4589580_01
2012 upper GI study showing gastric bezoar (a); 2014 upper GI study showing gastric bezoar (b).
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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).
Trichobezoar visualized on endoscopy.
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The patient was taken to the operating room for endoscopic retrieval of the bezoar (Figure 2).
Mass effect of trichobezoar being pulled up (a) and pushing against the posterior tracheal wall causing extubation (b).
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More specifically, the bezoar in the esophagus pressed anteriorly on the posterior tracheal wall and created a mass effect (Figure 3).