PMC3290022_01
Photographs of the scalp showing areas of alopecia due to trichotillomania in the temporal and parieto-occipital regions.
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F1
On physical examination of the scalp, the patient presented with traumatic alopecia over the parietal, temporal and occipital regions (fig. 1).
The photograph shows the anterior gastrotomy and extraction of the tricholithobezoar.
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F2
The interior of the stomach was completely filled with large balls of hair (fig. 2).
a Voluminous gastric-shaped trichobezoar measuring 25 cm in the largest diameter, with a visible yellowish gastrolith on its antral extremity. b Magnified view of the gastric calculus.
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F3
The antral extremity of the trichobezoar displayed a large expanse of yellowish calculus, with the consistency of a stone, measuring 8 cm in its largest diameter (fig. 3).