Weight Loss and Decreased Appetite in an 11-Year-Old Girl

Abstract

Introduction: Pediatric patients often present with vague, complicated complaints that can make it difficult to reach a diagnosis. The patient presented in this article presents with many of these symptoms. A thorough physical examination, and patient history, will prove invaluable in directing the diagnosis of this patient. Purpose:The aim of this study was to identify characteristics of a physical examination and history that may be present when a patient is found to have a gastric trichobezoar and the treatment of that particular diagnosis.Discussion: Trichobezoars, like many pediatric diagnoses, may present with vague, nondescript symptoms. They are more common in female adolescent patients. Providers should be prompted to obtain a thorough physical examination and patient history. In the case where a gastric bezoar is suspected, surgical treatment may be necessary. Radiologic imaging can be helpful to confirm diagnosis of trichobezoar and to direct the treatment plan.