Case report reveals surgical necessity for a large trichobezoar in a patient with altered gastric anatomy, highlighting clinical implications.
We report the case of a 42-year-old female with a history of gastropexy for weight loss 5 years prior, who presented with chronic upper abdominal pain, nausea, and a palpable left upper quadrant mass. Imaging and endoscopic evaluation revealed a large trichobezoar occupying most of the gastric lumen. Due to its size and composition, endoscopic removal was unsuccessful, and surgical intervention was required. This case highlights the importance of considering bezoars in the differential diagnosis of vague gastrointestinal symptoms, particularly in patients with altered gastric anatomy or associated behavioral disorders.
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Al-Darwish et al. (2025) studied this question.
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