PMC3114431_01
CT at initial presentation indicating intussusception of a short segment of small bowel.
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Subsequent computed tomography (CT) of the abdomen disclosed signs of jejunal intussusception (Figure 1).
Upper endoscopy following initial laparoscopy demonstrating a nonobstructing gastric trichobezoar.
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Endoscopy disclosed a previously unknown large, nonobstructing trichobezoar confined to the stomach (Figure 2).
Upper endoscopy at the time of symptom recurrence exhibiting absence of the previously present gastric trichobezoar.
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Repeat upper endoscopy found no evidence of the previously visualized trichobezoar in the stomach or duodenum (Figure 3).
CT at the time of symptom recurrence exhibiting dilated small bowel with mural stratification.
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A CT of the abdomen exhibited dilated small bowel with mural stratification and inspissated material suggestive of moderate- to high-grade distal small bowel obstruction (Figure 4).
Large trichobezoar removed via laparotomy.
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The patient subsequently underwent uncomplicated midline laparotomy, resulting in the removal of a 13 x 3 cm trichobezoar from the mid-jejunum (Figure 5).