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Girl with epigastric pain
  1. Chun-Yen Huang1,
  2. Wei-Jing Lee2
  1. 1 Emergency Medicine, Chi Mei Foundation Hospital, Tainan, Taiwan
  2. 2 Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan; saab931103{at}

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Clinical introduction

An 8-year-old previously healthy girl presented to the ED due to the intermittent epigastric pain, nausea and vomiting for 2 days. The appetite and activity were decreased. On physical examination, a palpable mass was noted over left upper quadrant with local tenderness. Laboratory investigations revealed white cell count of 10.7 X109/L. Abdominal radiography was performed (figure 1).

Figure 1

Radiography of the abdomen.


What is the most likely diagnosis?

  1. Carcinoma of the stomach

  2. Lymphoma

  3. Giant gastric trichobezoar

  4. Gastric …

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  • Contributors Both authors equally contributed to this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.