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  Vol. 160 No. 5, May 2006 TABLE OF CONTENTS
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Picture of the Month—Diagnosis


Arch Pediatr Adolesc Med. 2006;160:500.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Trichobezoar

Abdominal radiography revealed a mass in the stomach (see Figure 1 and Figure 2). Open surgical resection of the stomach revealed a trichobezoar (hair bezoar) (see Figure 3) and evidence of gastritis. Upon further inquiry with the family, we learned that the child had had a history of trichotillomania since 2 years of age; however, at the time, she had no signs of alopecia. Within days of the surgical removal of the bezoar, the child's appetite improved and she quickly gained weight. Her anemia was attributed to iron deficiency from chronic blood loss associated with gastritis as well as poor oral intake. Following surgery, outpatient child psychiatry consultation was arranged.


 
Figure appears in full text version.
Figure 1. Upright radiograph of the abdomen.



 
Figure appears in full text version.
Figure 2. Kidneys, ureters, and bladder (KUB) radiograph.



 
Figure appears in full text version.
Figure 3. Hair bezoar.


The accumulation of foreign ingested material in the form of masses or concretions may result in a gastric bezoar.1 . . . [Full Text of this Article]


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RELATED ARTICLE

Picture of the Month—Quiz Case
Kathryn S. Moffett and Jon E. Welch
Arch Pediatr Adolesc Med. 2006;160(5):499.
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