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Trichophytobezoar without gastrointestinal complaints
Diagnostic and Therapeutic Endoscopy
|January 1, 1996
Summary
A rare gastric trichophytobezoar mimicked lymphoma or cancer in a patient presenting with neck lymphadenopathy and an epigastric mass, highlighting unusual clinical presentations of bezoars.
Area of Science:
- Gastroenterology
- Pathology
- Oncology
Background:
- Trichobezoars are rare gastric foreign bodies, often associated with psychiatric conditions.
- Gastrointestinal symptoms are typical presenting complaints for trichobezoars.
Purpose of the Study:
- To report an unusual case of gastric trichophytobezoar presenting without typical gastrointestinal symptoms.
- To highlight the diagnostic challenges posed by atypical presentations of gastric bezoars.
Main Methods:
- Case report of a patient with an epigastric lump and cervical lymphadenopathy.
- Diagnostic workup included clinical assessment, biopsy, endoscopy, and laparotomy.
Main Results:
- Initial clinical diagnosis suggested lymphoma or gastric cancer with metastatic lymphadenopathy.
- Biopsy confirmed tubercular lymphadenitis.
- Endoscopy and laparotomy revealed a gastric trichophytobezoar.
Conclusions:
- Gastric trichophytobezoars can present atypically, mimicking malignancy or infections like tuberculosis.
- Diagnostic vigilance is crucial for rare conditions with non-specific symptoms.
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