Chronic Abdominal Pain Uncovers Pediatric Gastric Trichobezoar: A CT Scan Case Report

A trichobezoar is a mass of hair accumulated in the gastrointestinal tract. It is a rare, though not exceptional, condition that predominantly occurs in young females. The diagnosis of gastrointestinal trichobezoar is primarily based on imaging techniques, which allow the identification of the typical characteristics of the intragastric mass. We report the case of a 10-year-old girl, with no significant medical history, presenting with chronic epigastric pain and vomiting for the past 6 months. Clinical examination reveals a painful epigastric mass without any other signs. The biological tests are normal. An abdominal X-ray reveals a localized opacity in the gastric area. Ultrasound shows an antrum-pyloric intragastric mass with hyperechogenicity and acoustic shadowing. Abdominal CT scan revealed findings consistent with a gastrointestinal trichobezoar, confirmed by surgery.