Gastric Bezoar

Case report in an adolescent

A bezoar is concretion of indigestible material in the gastrointestinal tract, most commonly
in the stomach, which can cause intestinal obstruction. We report the case of a 15-year-old
adolescent presenting with left hypochondrial pain, greenish vomiting and a palpable mass.
Initial management included antibiotics, antiemetics, and oral intake restriction; however, the
patient progressed to abdominal distension and fecal vomiting. Computed tomography
revealed intestinal obstruction, prompting an exploratory laparotomy, during which two
gastric trichobezoars (17 x 13 cm and 17 x 9 cm) were found and surgically removed.