Gastric trichobezoar associated with perforated peptic ulcer and Candida glabrata infection

Figure 1 Abdominal ultrasound at epigastric level shows moderate amount of free fluid (yellow arrow) and reverberation artifact immediately under the abdominal wall compatible with intraperitoneal free air (red arrow).

Figure 2 At pelvic level, enlarged uterus is observed associated with free fluid, which presents echogenic material within suggestive of pus (white arrow).

Figure 3 Trichobezoar extracted weighing 1. 09 kg.

Figure 4 Finding of hair through perforated ulcer.

Figure 5 Gastric opening for extraction of trichobezoar.

Figure 6 Trichobezoar mass taking the shape of the stomach and part of the duodenum.