EURORAD ESR

Case 3317

Gastric and duodenal trichobezoar

Author(s)
Mornjakovic A, Dizdarevic S
 
Patient
female, 12 year(s)
 
 
  • Figure 1
    Abdominal ultrasound
     

    A longitudinal sonogram of the epigastrium showing the hyperechoic long band with acoustic shadowing posteriorly (arrow) corresponding to the bezoar in the upper part of the stomach.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasound;

    A transverse sonogram obtained with a linear probe in the region of the antrum showing the second band (arrow) corresponding to the bezoar in the antrum.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasound;
     
     
  • Figure 2
    An upper gastrointestinal series
     

    A mono-contrast upper gastrointestinal radiograph obtained in the prone position showing markedly distended stomach with a large endoluminal mass consisting of numerous filling defects and entrapped air.

     
    Area of Interest: unknown; Imaging Technique: Upper gastrointestinal series;

    A mono-contrast upper gastrointestinal radiograph obtained in the standing position showing almost the same pattern of the gastric trichobezoar. There is a little more air in the fundus.

     
    Area of Interest: unknown; Imaging Technique: Upper gastrointestinal series;
     
     
  • Figure 3
    Axial CT
     

    An axial CT image through the stomach demonstrating an intragastric mass consisting of two concentric rings (long arrows) with matted hair, air and barium (upper GI series done two days before). There is a tight hair...

     
    Area of Interest: unknown; Imaging Technique: Axial CT;

    An axial CT image through the duodenum showing the same intraluminal pattern (arrows).

     
    Area of Interest: unknown; Imaging Technique: Axial CT;
     
     
A longitudinal sonogram of the epigastrium showing the hyperechoic long band with acoustic shadowing posteriorly (arrow) corresponding to the bezoar in the upper part of the stomach.
 
A transverse sonogram obtained with a linear probe in the region of the antrum showing the second band (arrow) corresponding to the bezoar in the antrum.
 
A mono-contrast upper gastrointestinal radiograph obtained in the prone position showing markedly distended stomach with a large endoluminal mass consisting of numerous filling defects and entrapped air.
 
A mono-contrast upper gastrointestinal radiograph obtained in the standing position showing almost the same pattern of the gastric trichobezoar. There is a little more air in the fundus.
 
An axial CT image through the stomach demonstrating an intragastric mass consisting of two concentric rings (long arrows) with matted hair, air and barium (upper GI series done two days before). There is a tight hair band seen between the rings (short arrow).
 
An axial CT image through the duodenum showing the same intraluminal pattern (arrows).
 
 
 
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