Trichobezoar (Hair Bezoar): Advanced Clinical, Imaging, and Management Insights.
https://doi.org/10.1056/NEJMicm1403124 Introduction: Understanding Trichobezoar in Clinical Practice Trichobezoar, commonly referred to as a hair bezoar, is a rare but clinically significant gastrointestinal condition characterized by the accumulation of ingested hair within the stomach and sometimes extending into the small intestine. This condition is strongly associated with psychiatric disorders such as trichotillomania and trichophagia, making it a fascinating intersection between gastroenterology, radiology, and psychiatry. This column provides a comprehensive, expert-level yet reader-friendly analysis of trichobezoar, integrating real case imaging findings, pathophysiology, and diagnosis. https://doi.org/10.4021/gr2008.11.1287 Case Overview: 18-Year-Old Female with Abdominal Pain and Vomiting An 17-year-old female with a known history of autism and trichotillomania presented with: Persistent vomiting for 48 hours Abdominal pain Normal vital signs and laboratory findings Im...