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Gastric trichobezoar

Gastric Trichobezoar: Case Report and Literature Review

Gastric Trichobezoar Eurora

Ultrasonographic diagnosis of trichobezoar may be relatively specific. A broad band of high-amplitude echoes can be seen superficially, with complete sonic shadowing behind. The authors describe a patient in whom the diagnosis was made prior to conventional barium studies and in whom the question of trichobezoar had not been raised clinically Trichobezoar and postpartum gastric perforation: A case report and brief review of literature 2 July 2009 | Journal of Obstetrics and Gynaecology, Vol. 28, No. 4 Simultaneous gastric and small intestinal trichobezoars—a hairy proble The trichobezoar is a rare medical condition composed of a mass of hair in the proximal gastrointestinal tract, which can cause obstruction, and almost exclusively affects young women[1,2]. Its prevalence ranges from 0.06% to 4% in the general population Gastric trichobezoar. Daniel José Szor, Rua Barata Ribeiro 380/11, ZIP code 01308‐000, São Paulo‐SP, Brazil. Tel: (5511) 32895222; Fax: (5511) 32897615 E‐mail: danszor@gmail.com. Daniel José Szor, Rua Barata Ribeiro 380/11, ZIP code 01308‐000, São Paulo‐SP, Brazil A trichobezoar is a conglomerate of trapped hair mainly originating in the stomach. {1,2} It is seen in young females. {1,2} The hair being enzyme-resistant and smooth, cannot be digested and accumulates between the gastric mucosal folds leading to formation of a hair ball together with entrapped food and mucus. {1,3} It is commonly associated.

The Rapunzel Syndrome is a variant of gastric trichobezoar, where the hairball extends out of the stomach and into the small bowel. In this 9 y.o. girl, the.. Gastric trichobezoars are rare occurrences that must be surgically addressed when not amenable to medical therapy or endoscopic removal. Literature regarding laparoscopic removal is sparse, and extraction methods currently involve limited midline laparotomy or port-site extension Trichobezoars usually reside in the stomach (gastric trichobezoar) and rarely may pass to the small bowel (isolated small bowel trichobezoar) [, , ]. A trichobezoar may elongate to acquire a long tail, the Rapunzel syndrome, named after the novel character 'Rapunzel' with long tresses [5,6]

Gastric trichobezoar Eurora

  1. A trichobezoar is a mass of undigested hair within the gastrointestinal tract. Trichobezoars are often associated with trichotillomania (hair pulling), and trichophagia (hair swallowing). Trichotillomania may be unconsciously or unintentionally done and is part of the DSM IV psychiatric classification of impulse control disorders [ 4,
  2. g symptomatic
  3. 2 Sichuan University-Oxford University Huaxi Gastrointestinal Cancer, China. 3 Department of Radiology, West China Hospital, Sichuan University, China. PMID: 3335145
  4. Phytobezoars are the most common type of bezoar. Trichobezoarsare composed of hair or hair-like fibers, such as carpet or clothing fibers. In severe cases, known as Rapunzel's syndrome, the compacted fibers can fill the stomach with a tail extending into the small intestine. Rapunzel's syndrome is most common in adolescent girls
  5. The case described here is especially unusual because it involves a gastric trichobezoar that caused intermittent small bowel obstruction despite the lack of a tail or any other portion extending into the small bowel. The precise mechanism by which an entirely gastric trichobezoar can cause small bowel obstruction is unclear
  6. al mass and previous history of trichophagia. In physical exa
  7. A trichobezoar is a hair ball trapped in the gastrointestinal tract, mainly in the stomach. Trichobezoar is a rare condition, nearly always diagnosed in young females 20). Psychiatric comorbidities that involve strong urges to pull out one's own hair (trichotillomania) and eat it (trichophagia) are observed in these patients

Rapunzel syndrome is an extremely rare condition seen in adolescents or young females with psychiatric disorders consisting of a gastric trichobezoar with an extension within the small bowel Plain film shows a heterogeneous mixed air and soft-tissue density in the left upper quadrant A Pakistani girl presented with acute abdominal pain and raised serum amylase and alkaline phosphatase concentrations. She was found to have a gastric trichobezoar with a tail extending to the mid-ileum. The altered biochemical parameters returned to normal after surgical removal of the bezoar It is a severe condition of a gastric trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large.

While small gastric trichobezoars may be removed via gastroscopy, large trichobezoars require surgical removal by gastrotomy through abdominal incision. We present a case of a successful.. trichobezoar: a bezoar formed from hair, this has also been called Rapunzel syndrome when the tail of the trichobezoar extends some distance through the small bowel phytobezoar: composed of indigestible food material (e.g. cellulose) and are frequently reported in patients with impaired digestion and decreased gastric motilit How Surgeons Remove Gastric Hair Ball | Laparoscopic Removal of a Large Gastric Trichobezoar - YouTube. How Surgeons Remove Gastric Hair Ball | Laparoscopic Removal of a Large Gastric Trichobezoar.

Gastric trichobezoar: sonographic findings

Trichobezoar is a bezoar formed from hair - an extreme form of hairball. Humans who frequently consume hair sometimes require these to be removed. The Rapunzel syndrome, a very rare and extreme case, may require surgery. By location. A bezoar in the esophagus is common in young children and in horses. In horses, it is known as choke A trichobezoar is a bezoar (a mass found trapped in the gastrointestinal system) formed from the ingestion of hair. Trichobezoars are often associated with trichotillomania (compulsive hair pulling). Trichobezoars are rare, but can be fatal if undetected. Surgical intervention is often required Gastric trichobezoar. ª 2017 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. 1907 We report two cases of gastric trichobezoar through which will be discussed the diagnostic and therapeutic difficulties. Case 1. 24-year-old patient J.M consults for chronic epigastric pain . associated with postprandial early feeding vomiting, evolving since 2 years in a significant weight loss and anorexia context. In its histor gastric trichobezoar with an associated gastric ulcer on the lesser curve of the stomach. The duodenum appeared unremarkable to the D2 segment. The general surgical team were subsequently consulted and she underwent a laparotomy, gastrotomy and retrieval of the trichobezoar on the 3 February 2018. Figure 1

In 1779 Baudamant reported the first case of a gastric trichobezoar in a 16-year-old youth. The first successful removal of a gastric trichobezoar recorded was described by Shonborn in 1883. Three years later Thornton reported the first correct preoperative diagnosis of a hairball in the stomach.De.. Trichobezoars are caused by hair ingestion. The usual presentation of a trichobezoar is with early satiety and malnutrition. Obstructive symptoms and manifestations of gastric outlet obstruction may occur. The diagnosis may be suspected in young females with malnutrition, who have a history of trichophagia. We report a case of 12-year-old female admitted to the emergency room for abdominal pain Giant Gastric Trichobezoar In A Female Teenager. The Internet Journal of Surgery. 2008 Volume 21 Number 2. Published on Oct 01, 2015 Last Updated on Oct 06, 2015 Gastric trichobezoar in a collared peccary (Pecari tajacu Linnaeus, 1758) raised in captivity in the semi-arid region of Rio Grande do Norte: Case report. Research, Society and Development , [S. l.] , v. 10, n. 5, p. e37210515046, 2021

41 Gastric trichobezoar 42 CASE REPORT A 21-year old girl, not working, not smoking, with past history of depression and on antidepressant drugs, her family history was negative for such depression, presented to the surgical department , Suez Canal University, Ismailia, Egypt with nausea and epigastric swelling Serious complications include gastric ulceration, bleeding, perforation, intussusception, and small-bowel obstruction. A trichobezoar with a tail extending the entire length of the small intestine.

A 10-year-old girl experienced formation of a huge gastric trichobezoar. Diagnosis was obtained by flexible upper gastrointestinal endoscopy. In contrast to the latest reports on this topic advocating so-called minimally invasive treatment procedures, we continue to recommend a classic operative removal by laparotomy The disadvantage of endoscopic removal in our case was the procedure time. However, the length of anesthesia with surgical approaches varies and may be longer than with an endoscopic approach. There is a case report of an apparent explosive event during a laparotomy for removal of a gastric trichobezoar when electrocautery was used

Upper gastrointestinal endoscopy is a definitive diagnostic procedure for trichobezoar and can differentiate with other foreign material [1, 2].Endoscopic removal is an option to retrieve gastric trichobezoar but usually fails to complete removal Gastric trichobezoar formation occurs primarily in adolescent patients with an irresistible urge to pull hair from the scalp (trichotillomania) combined with a desire to ingest hair (trichophagia). This hair becomes matted once swallowed and assumes the shape of the digestive tract. Bezoars can extend anywhere from the esophagu Gastric Trichobezoar without trichotillomania: A diagnostic dilemma Dr. Snigdha Goyal1, Dr. Manoj Singhal2, Dr. Sunder Goyal*1 1 Department of Pathology, Dr Ram Manohar Lohia Postgraduate Institute of Medical Sciences, New Delhi, India. 2 Assistant Prof, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India Gastric Trichobezoar: Case Report Tricobezoar gástrico: Presentación de caso Ana María Henao1 María Camila Medina1 Fabián Reyes1 Luis Felipe Uriza2 Summary A bezoar is a foreign body that can form in the gastrointestinal tract due to the ingestion of non digestible substances. They are classified according to their composition, with.

The localization of trichobezoar is most often gastric or small bowel [5]. It remains often asymptomatic for a long time of period, discovered incidentally during an assessment of iron deficiency anemia or hypoalbuminemia. Otherwise, it can cause a polymorphic and non-specific symptoms: abdominal pain, vomiting, constipation, poor general. Abdominal pain is a common presenting complaint of children seen in urgent care settings. It is the manifestation of a wide variety of disease processes ranging from benign to immediately life-threatening. Gastric bezoars are among the etiologies of chronic childhood abdominal pain that, when undiagnosed, may result acutely in serious complications, including gastric ulceration, bleeding and. 10. Sinzig M, Umschaden HW, Haselbach H, et al. Gastric trichobezoar with gastric ulcer: MR findings. Pediatr Radiol 28 (1998): 296. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license 4. A giant trichobezoar was removed through an anterior gastrotomy along with its tail (Rapunzel syndrome). Gastric mucosa inspected but there was no sign of any complication (ulceration, haemorrhage etc.). The mass weighed 1950 g and measured 23x17 cm [Table/ Fig-5]. The gastrotomy was closed in two layers and the abdomen was closed with drainage.

Gastric trichobezoar associated with perforated peptic

Background Gastric trichobezoar happens when there is an indigestible substance or food found in the gastrointestinal tract. It is a rare presentation which is usually associated with trichotillomania and trichopagia. The presentation may not be specific and is usually related to dyspepsia-like symptoms Gastric bezoars are most common after gastric surgery, but in patients who have not undergone surgery, gastric bezo- ars are almost always accompanied by an underlying psychi- Key Points atric problem, such as trichotillomania (the irresistible urge to • Gastric trichobezoar are usually found in patients with pull one's own hair) Rapunzel syndrome is the term for a trichobezoar (gastric 'hair ball') which has a tail-like extension into the small bowel through the pylorus causing gastric outlet obstruction. For discussion of other gastrointestinal foreign bodies, please s..

Gastric trichobezoar: sonographic findings. McCracken, S; Jongeward, R; Silver, T M; Jafri, S Z 1986-10-01 00:00:00 #{149} Robert Jongeward, MD #{149} Terry M. Silver, MD #{149} S. Zafar H. Jafri, MD Gastric Ultrasonographic Trichobezoar: diagnosis of tn- Sonographic Findings’ chobezoar ic. A broad echoes can may be relatively specifband. Read Gastric trichobezoar with gastric ulcer: MR findings, Pediatric Radiology on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips

Trichobezoar presenting with the 'comma sign' in Rapunzel

In this article, we presented a giant gastric trichobezoar obstructing outlet and causing closed-perforation and abscess formation of gastric fundus in a 30-year-old woman. Keywords: Bezoar, trichobezoar, closed-perforation of stomach, gastric outlet obstruction. Introductio females. Gastric trichobezoar (GT) is the most common variety of bezoar found in the stomach.2 On the basis of their contents, bezoars are classified into phytobezoars (composed of non-digestible food materials such as seeds and pits), trichobezoars (composed of hair), lactobezoars (composed of lactose), an [4]. It was a gastric trichobezoar (15×7 cm) in a 17-year old girl. The trichobezoar was removed endoscopically with the usage of laser fragmentation in three sessions; 2-3 hours duration, each. The second case was removed in 1993 by Saeed et al. [5]. It was a gastric trichobezoar in a 54-year old man of 12 cm in length and 55 gram in weight A Novel Method of Endoscopic Retrieval of Massive Gastric Trichobezoar. Wang, Zhu MD 1,2; Liao, Kai BD 3; Wu, Nian-Hong 2; Luo, Bin-Yang MD 1,2; Yang, Jin-Lin MD 1,2; Deng, Kai MD 1,2. Author Informatio Introduction: Gastric trichobezoar is a rare gastrointestinal condition, more frequent in young female patients, and is often associated with trichophagia or other psychiatric disorders. It was first described in 1950. 1 Once in the stomach, human hair resists digestion and, because of its smooth surface, it is not pushed by the peristalsis. Mucus and food residues accumulate together with the.

2/15 Gelberg alimentary continued at Oregon State College

have had gastric surgery such as a gastric band (for weight loss) or gastric bypass; The presence of a trichobezoar may indicate an underlying psychiatric issue. Diagnosing bezoars We report the unusual case of a 45-year-old woman who presented with multiple episodes of small bowel obstruction. Initial exploratory lap-roscopy did not reveal an etiology of the obstruction. Subsequent upper endoscopy identified a non-obstructing gastric trichobezoar which could not be removed endoscopically but was not thought to be responsible for the small bowel obstruction given its.

Gastric trichobezoar - Szor - 2017 - Clinical Case Reports

Gastric trichobezoar is the most common entity and the underlying etiology is usually a psychiatric disorder. [3] Trichobezoar is relatively a rare surgical finding. In approximately 1% of the patients with trichophagia, a trichobezoar is seen to develop. [4] Most cases of trichobezoar are reported in females. Case repor Background. Gastric trichobezoars are a relatively infrequent pathology.1 Rapunzel syndrome is so called due to the extension of a bezoar beyond the gastric body into the duodenum.2 Mobilising the stomach up into a small wound and operative delivery, particularly of such extensive bezoars, can be difficult in young children. In addition, postoperative wound infections in the region of 15% have.

Ashwin Pimpalwar, MD, FRCS, Pediatric, surgery Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor college of medicine and Texas Children's Hospital, Houston, Texas. Purpose: To report our technique of laparoscopic removal of large Trichobezoar in children. Material methods: 9 year old child presented with vomiting and intolerance to oral diet. Upper GI [ Return to Article Details Gastric trichobezoar in a collared peccary (Pecari tajacu Linnaeus, 1758) raised in captivity in the semi-arid region of Rio Grande do Norte: Case report Download Download PDF Gastric trichobezoar in a collared peccary (Pecari tajacu Linnaeus, 1758) raised in captivity in the semi-arid region of Rio Grand Regurgitated hairballs are variable in size; though usually about an inch long, they can be as long as five inches and an inch thick. The color is mainly that of the cat's coat, darkened by the color of the animal's food and various gastric secretions, such as green bile. The ejected matter will typically have an unpleasant but tolerable odor Core tip: This case report describes the presentation of a gastric trichobezoar as an acute abdomen in puerperal woman with a detailed clinical description and images. The discussion provides an extensive analysis on the various types of treatments that exist today and their results, as well as evaluating its association with specific psychiatric diseases, and the finding of Candida infection.

Gastric masses (trichobezoar with rapunzel syndrome

  1. undigested by the gastric fluids resulting in their accumulation within the gastrointestinal tract, most commonly the stomach and proximal portions of the small bowel. Presented here is an unusual case of giant trichobezoar due t
  2. The trichobezoar (14 × 6 cm) and the gastric polyp (2.2 × 1.7 cm) were completely removed laparoscopically through anterior gastrotomy, with great sup- port of an adequate endobag and mechanical fragmentation of trichobezoar
  3. al pain, anorexia, and weight loss
  4. Patients with a history of diabetes, certain psychiatric disorders, prior gastric surgery and poor mastication ability are at an increased risk of developing bezoars. We are presenting a case of patient who suffered from a large, recurrent trichobezoar, who had a history of gastric bypass surgery as well as trichotillophagia
  5. gastrointestinal perforation, or acute pancreatitis attributed to obstruction of the ampulla of Vater by prolongation of the trichobezoar or reactive edema, cholestatic jaundice, gastric ulcer or duodenal and rarely volvulus of the large intestine [4]. In our patient, it was a gastric ulcer perforation in a trichobezoar
  6. Giant gastric trichobezoar: A direct indication to surgery Corresponding Author: Antonio Rispo, MD; e-mail: antoniorispo@email.it Dear Editor, bezoars are concretions of undigested foreign bodies that can formed in gastrointestinal tract because of abnormal digestive anatomy or motility, such as peptic or post-operative stric

The treatment is endoscopic, laparoscopic, or surgical removal and usually followed by psychiatric opinion. Herein, we report a case of gastric trichobezoar presenting as gastric perforation in a patient of trichotillomania and trichophagia that was accidentally found on laparotomy Trichobezoar is a rare condition that may pose a diagnostic challenge. Patients with this condition often have an underlying psychiatric illness. The condition should be entertained, especially in young females. We report a 32-year-old female patient with complaints of early satiety, nausea and weight loss (10Kg for the past 1 year). The patient has a history of family abuse (domestic violence. Trichobezoar is a conglomeration of swallowed hair in the gastrointestinal tract usually found in young girls with psychological disorders. Since human hair is nondigestible, it accumulates between the gastric mucosal folds, and over a period of time, continuous trichophagia leads to impaction of hair along with food and mucus forming a trichobezoar Gastric dilatation. Abnormal condition in which the stomach fills with air and expands. Gastric dilatation volvulus. Trichobezoar. Hairball. Ulcer. Erosion of the skin and mucous membranes. Ultrasound. Diagnostic technique using ultrasound waves to produce an image of an organ or tissue 摘要:The aim of this study is to assess DNA degradation, DNA amplification, and GMO quantity during tofu production. Soybean seeds were spiked with Roundup Ready soybeans (RRS) at 0.9, 2, 3 and 5% (by mass), to assess the level of RSS that would be of practical interest for threshold labelling

(PDF) Simultaneous Gastric and Ileal Trichobezoars CausingRadiography: abdomen technique in rabbits | Vetlexicon

Rapunzel Syndrome - Gastric Trichobezoar (Hairball) - YouTub

Gastric trichobezoar is an unusual cause of gastric outlet obstruction, bleeding and perforation in the Paediatric Emergency Department. It most commonly occurs in teenage girls with concomitant, frequently undiagnosed psychiatric disorder known as trichotillomania. Only one third of these patients have trichophagia, and just 1% of these. Gastrointestinal protein loss returned to normal after operative removal of the bezoar. Thepatient reported here presented with oedema only. Hewasfoundoninvestigation to havealarge trichobezoar associated with gastric polyposis, protein-losinggastroenteropathy, andsteatorrhoea. Received for publication 11 June 1973. Method Gastrointestinal. A mentally subnormal patient presenting with oedema was found at gastroscopy to have a large trichobezoar and multiple gastric polyps. The serum concentrations of albumin and IgG were low in the absence of proteinuria, and the gastrointestinal clearance of radiochromium after the intravenous administration of radiochromic chloride was increased Gastric trichobezoar is formed by accumulation of injested hairs in stomach . It is hair ball mass usually take shape of stomach. It is seen commonly in mentally subnormal females who used to injest their own hairs. Rapunzel syndrome is same condition in which a long tail like extension of bezoar noted reaching in small bowel causing its.

Laparoscopic Removal of a Large Gastric Trichobezoar in a

  1. Fig.3 The trichobezoar completely re- moved after fragmentation. Baek Seung Gyun et al. Endoscopic retrieval of a huge gastric trichobezoar using an electrosurgical knif
  2. A gastric trichobezoar, is the most common type of bezoar and found in the stomach [4]. Trichobezoars are composed usually of swallowed hair, forms when hair strands, escaping gastric peristaltic propulsion are enmeshed into a ball. As this ball gets too large to leave the stomach, gastric atony may result. The mass is usually black because of.
  3. al pain and raised serum amylase and alkaline phosphatase concentrations. She was found to have a gastric trichobezoar with a tail extending to the mid-ileum. The altered biochemical parameters returned to normal after surgical removal of the bezoar. Irritation of ampulla of Vater by the bezoar tail is believed to have caused transient pancreatitis

Gastrointestinal trichobezoar: An experience with 17 cases

Trichobezoar is an atypical cause of gastric outlet obstruction. It needs to be suspected in patients with psychiatric disorders. A large trichobezoar (Rapunzel syndrome) can be managed laparoscopically with minimal contamination. A Pfannenstiel incision is a good option to remove a large the specimen, with good cosmetic results confirming gastric trichobezoar and excluding calcified masses which are confusing in ultrasound abdomen.(14) In view of history of trichophagia,trichotillomania,radi ological findings suggestive of acute intestinal obstruc-tion due to Trichobezoar,Decision made for laparotomy. In this case operative findings were a huge trichobezoar A 3.5-year old female Angora guinea pig was examined because of a history of anorexia, abdominal pain and a palpable abdominal mass. Physical examination revealed a round, well defined mass in the cranial abdomen. The abdominal palpation was slightly painful. Ultrasonography showed a round hyperechogenic mass situated in the gastrointestinal tract, presumably the stomach updates international indexed journal peer reviewed monthly print journal double reviewed refereed & referred international journal journal promoted by indian society for health and advanced researc

Gastric Trichobezoar: An Enduring Intrigu

stones have bezoars. In addition, patients with gastric or intestinal bypass surgery may have bezoars. Rapunzel Syndrome is inspired from the tales of Grimm Brothers and constitutes a trichobezoar and a ball of hair hanging down and caus surgery anding obstruc-tion. We presented a giant gastric trichobezoar case without ob-struction and weight. eign material in the gastrointestinal tract. Trichotillomania is an impetuous disorder of pulling out one's own hair, whereas trichobezoar is the formation of a hairball after trichophagia [1], which contains a large quantity of hair, varying in length, matted together. A 13-year-old patient presented with abdominal pain beginning 1 month ago

Rapunzel Syndrome: A Rare Presentation with Giant Gastric

Endoscopic retrieval of gastric trichobezoar after

Key words: Foreign body, Trichophagia, Gastric Trichobezoar . INTRODUÇÃO. Bezoares são corpos estranhos impactados no trato digestivo, resultantes da ingestão e acúmulo desses, acometendo principalmente o estômago 1. No sexo feminino, 90% são tricobezoares, resultantes geralmente da tricotilomania 2,3 Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time. J Pediatr Surg 2013; 48: e13-e15 [PMID: 23480941 DOI: 10.1016/j.jpedsurg.2012.12.028] 8 Pogorelić Z, Jurić I, Zitko V, Britvić-Pavlov S, Biocić M. Unusual cause of palpable mass in upper abdomen--giant gastric trichobezoar Gastrointestinal trichobezoars can cause a spectrum of findings but this singular cause of obstruction should not be forgotten in the management of a child with abdominal pain. REFERENCES 1. Megale AB, Megale MZ, Miranda TA, Barbosa BO, Lourenço AL. Gastric trichobezoar - case report. Rev Col Bras Cir. 2010;37:382-83. 2

Stomach, Gastric Disease Specialist in Doctor India Delhi

Trichobezoar (hair) 80% are < age 30, almost exclusively in females; Associated with gastric ulcer in 24-70%; Imaging findings. Upper part of a large bezoar may be visible as a mass with a convex upper border projecting into the gastric air bubbl A 6-cm long longitudinal anterior gastrotomy over the gastric corpus and antrum was performed, and the trichobezoar was removed in toto. The trichobezoar was dark black in colour, measured 24x10 cm in length and weighed 500 gm Gastric trichobezoar with a long intestinal tail is known as Rapunzel syndrome, after the Grimm brothers' story in which the prince climbed into Rapunzel's tower using the tresses of her long hair. Gastric tricho-wool bezoar in an 18-year-old girl