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Case of the Week 437




What is the most likely diagnosis?

  • 16 year-old mentally-challenged female with bloating



Radiograph of Stomach from an Upper GI Examination

  1. Linitus plastica
  2. Lymphoma
  3. Bezoar
  4. Hypertrophic pyloric stenosis
  5. Splenomegaly

Additional Image - None

 

 

Additional Images

 

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Answer:

.


3. Bezoar

.

.

More (Click Discussion Tab)


Bezoar

General Considerations

  • Collections of indigestible material found in the gastrointestinal tract, usually the stomach
    • From the Persian word “padzahr” which means antidote since they were once used for this purpose
  • Incidence is very low
  • Risk of trichobezoar (eating of hair) is greater among mentally retarded or emotionally disturbed children
    • Also occurs as an occupational disease in brushmakers, blanket weavers and wool workers
  • Much more common in females (90%) aged 10 to 19

 

MORE . . .


.

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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.