PMC7718640_01
Axial (a) and coronal (b) CT scan image showing a non-homogenous non-enhancing mass with a mottled appearance within the lumen of the stomach (large arrow) first and second part of duodenum (small arrow).
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The contrast-enhanced computed tomography (CECT) scan revealed an intraluminal mottled mass of mesh-like appearance occupying the entire stomach and extending beyond the second part of the duodenum, delineated by the oral contrast circumferentially, suggestive of a trichobezoar (Figure 1).
Panels (a and b) showing anterior gastrotomy and removal of the large trichobezoar extending from the stomach to the second part of duodenum
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The anterior gastrotomy was done between stay sutures which revealed a large, entangled mass of hair in the stomach with the tail extending to the second part of the duodenum (Figure 2).
Specimen showing the removed trichobezoar casted in the shape of the stomach and the duodenum.
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The trichobezoar was removed in-toto without peritoneal contamination (Figure 3).