From the Division of Pediatric Emergency Medicine, Department of Emergency Medicine, New York-Presbyterian Morgan Stanley Children's Hospital/Columbia University Irving Medical Center, New York, NY.
Department of Emergency Medicine, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY.
Pediatr Emerg Care. 2023 Nov 1;39(11):892-894. doi: 10.1097/PEC.0000000000003062. Epub 2023 Oct 8.
This case report describes a previously healthy pediatric patient with acute onset of abdominal pain and distention who was found to have an epigastric mass on physical examination. Point-of-care ultrasound (POCUS) demonstrated a large gastric mass with ultrasonographic features consistent with a trichobezoar. After POCUS was performed, trichophagia was confirmed on history, and the patient went to the operating room for removal of a large trichobezoar. We conclude POCUS may be helpful for evaluation of epigastric masses and diagnosis of gastric trichobezoars. We review the ultrasound technique, sonographic findings, and literature regarding ultrasound diagnosis of trichobezoars.
本病例报告描述了一例既往健康的儿科患者，其急性发作腹痛和腹胀，体检时发现上腹部有肿块。床边超声（POCUS）显示胃内有一巨大肿块，超声表现符合毛粪石。行 POCUS 后，根据病史证实存在异食癖，患者转入手术室取出一大块毛粪石。我们得出结论，POCUS 可能有助于评估上腹部肿块和诊断胃毛粪石。我们回顾了超声技术、超声表现以及关于超声诊断毛粪石的文献。
