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Updated: Jul 17, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
Epigastric mass in a young girl: trichobezoar. Imaging diagnosis
Umesh Kumar Sharma1, Yubaraj Sharma, Raj Kumar Chhetri
1Department of Radiodiagnosis, Kathmandu University Teaching Hospital, Dhulikhel, Nepal. druksharma@hotmail.com
Abstract:
A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. Upper GI endoscopy showed a large intragastric mass composed of hair. The CT scan showed a gastric mass extending to the duodenum. She was managed by surgical removal. A large gastric trichobezoar extending upto the jejunum was found. This case highlights the characteristic radiological appearance on barium, ultrasound and computed tomography of a bezoar within the stomach and a trichobezoar with a long tail extending upto the jejunum without intestinal obstruction is unusual.
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