Gastric bezoar

Gastric bezoar is an accumulation of indigestible masses in stomach. Depending on the composites of these masses, descriptive names are given like tricobezoar if the mass contains hair. Most of the patients have psychological issues that result in their desire to eat hair which predispose them to have gastric tricobezoar. Unfortunately, the presentation is usually very late with signs of gastric outlet obstruction which include abdominal pain, distension, nausea and vomiting. There are typical findings seen in abdominal radiograph like large intraluminal filling defect with mottled translucency and ultrasound finding of shadowing intra-luminal masses. The treatment of such cases includes laproscopic trial to remove the bezoar and if not successful to proceed for gastrostomy.