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Figure 1. A 27-year-old woman was admitted because of a three-day history of constant epigastric pain radiating to the back, associated with nausea and vomiting. For several years, as a result of an emotional disturbance, she had been eating her own hair. A large upper abdominal mass was palpable. An abdominal computed tomographic scan (Panel A) revealed a heterogeneous mass within the stomach (arrow), surrounded by contrast material and containing small amounts of interspersed gas. At laparotomy, three large hair balls (Panel B) were removed from the stomach, and a large gastric posterior penetrating ulcer was excised. The patient . . . [Full Text of this Article] |