Dysphagie mit unklarer Ursache bei 20-jähriger Patientin

Many different causes have been described for dysphagia. An uncommon one is trichobezoars, which are mainly caused by trichotillomania. This may lead to mechanical obstruction and peritonitis due to perforation of the gut. Here we report a case of a giant trichobezoar (30×20×10 cm) in the stomach of a 20-year-old female. The patient presented unclear dysphagia and a palpable tumor in the epigastrium. Computed tomography showed an inhomogeneous tumor spreading from the upper belly to the pelvis. A B1 resection was performed and the patient recovered uneventfully.