Giant gastric bezoar presenting as an acute abdominal emergency
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KeywordsFoam Mental Retardation Neurofibromatosis Neurofibroma Endoscopic Therapy
Up to 90% of trichobezoars occur in girls younger than 20 years. Common associations are mental retardation, pica, and trichotillomania . Gastric bezoars often present with acute symptoms and sometimes respond to conservative or endoscopic therapy . In our patient, the bezoar was removed via open surgery forming a cast of the stomach (Supplementary materials available with this article online).
Video demonstrating the surgical removal of the bezoar in the operating room. (AVI 7970kb)