© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
A rare cause of abdominal pain
1 Emergency Department, St Thomas Hospital, London, UK
2 Department of General Surgery, Watford General Hospital, Watford, UK
Correspondence to:
Correspondence to:
Dr W H Chan
Emergency Department, St Thomas’ Hospital, Lambeth Palace Rd, London SE1 7EP, UK; waibruceleechan@hotmail.com
Keywords: trichobezoar; bezoar; perforation; stomach
| The first 100% of the full text of this article appears below. |
A female, aged 22 years, with alopecia presented with acute onset left upper quadrant abdominal pain and hypotension (blood pressure 80/40). There was no history of trauma. Abdominal examination demonstrated guarding in the left upper quadrant and urgent blood investigations revealed neutrophil leucocytosis with a normal serum amylase. There was no free air under the diaphragm on an erect chest x ray and an abdominal radiograph was unremarkable. In view of the unexplained localised peritonitis, an abdominal computed tomography (CT) scan was requested.
What conclusions can you draw from this CT scan?
See page1266 for answer
This case is submitted by:
[in a new window] Figure 1 Abdominal computed tomography.
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2004 53: 1266.[Extract] [Full Text] [PDF]
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