PMC5814371_01
Erect chest x-ray demonstrating subdiaphragmatic free air.
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Repeat bloods revealed CRP > 320 and an erect chest x-ray showed sub diaphragmatic air (Fig. 1).
MRE scan of the abdomen preoperatively identifying a giant trichobezoar within the stomach.
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MR enterography (Fig. 2) uncovered a small volume of free subphrenic air on the right.
The trichobezoar has been extracted through the gastrotomy.
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A 610 g bezoar of ingested hair which had formed a cast of the entire stomach was removed (Fig. 3).
Gastric ulcer.
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A perforated ulcer (~2 cm) seen in lower part of greater curvature (Fig. 4) was closed with interrupted 3.0 PDS and an omentum patch placed over it.
Trichobezoar specimen.
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