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Updated: Sep 10, 2025

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
A giant gastric trichobezoar requiring surgical intervention: a case report and literature review
Abdullah S Al-Darwish1, Mohannad K Saffaf1, Leen O Alothaim1
1Department of Surgery, Arryan Hospital, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Abstract:
We report the case of a 42-year-old female with a history of gastropexy for weight loss 5 years prior, who presented with chronic upper abdominal pain, nausea, and a palpable left upper quadrant mass. Imaging and endoscopic evaluation revealed a large trichobezoar occupying most of the gastric lumen. Due to its size and composition, endoscopic removal was unsuccessful, and surgical intervention was required. This case highlights the importance of considering bezoars in the differential diagnosis of vague gastrointestinal symptoms, particularly in patients with altered gastric anatomy or associated behavioral disorders.
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