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The patient attended the emergency department for abdominal pain, reduced appetite and vomiting. On palpation, the abdomen was painful in the epigastrium with a sensation of a mass on deep palpation.
Blood tests showed leukocytosis of 27,790 μL.
An abdominal CT scan was requested (Fig. 1) which reported gastric chamber distension up to 9.2 cm with a bezoar inside and another two bezoars in the jejunum causing intestinal obstruction.
Surgery, gastrotomy and enterotomy confirmed the finding of a gastric trichobezoar and two intestinal trichobezoars (Fig. 2).
Postoperative period favourable with discharge on the 5th day, after psychiatric evaluation.
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