A Giant Trichobezoar Diagnosed by Ultrasound, Confirmed by Upper Endoscopy, and Managed by Minimally Invasive Laparoscopic Surgery

A 20-year-old woman with a reported history of trichophagia was referred to our unit for recent onset of vomiting and abdominal pain. On physical examination, a large, nontender, mobile mass was palpable in the epigastrium and in the right lower quadrant. No fever, weight loss, or laboratory abnormalities were found. Abdominal ultrasound revealed an intragastric “hyperechoic ecoattenuating mass bordered by a trilinear wall” (Figure A)....