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Question:
Charu Tiwari, Neha Sisodiya Shenoy, Mukta Waghmare, Kiran Khedkar, Hemanshi Shah
Department of Pediatric Surgery, Topiwala Nair Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.

Address for Correspondence: Prof Hemanshi Shah, Professor & Head, Department of Paediatric Surgery, TNMC & BYL Nair Hospital, Mumbai, Maharashtra - 400008, India. E-mail: hemanshisshah@gmail.com

Case 1: A 10 year female child presented with abdominal pain, nausea and vomiting associated with abdominal lump and weight loss. A non-tender mobile mass was palpated in the epigastric region. Abdominal ultrasound (USG) showed an 8 x 7 x 6cm echogenic mass with posterior acoustic shadow. An upper gastrointestinal contrast study showed a mobile intraluminal filling defect in the stomach. The patient underwent mini-laparotomy with gastrotomy and removal of the mass.
Case 2: A 7 year old girl was admitted with an asymptomatic epigastric lump. A non-tender mobile mass could be palpated in epigastric region. USG showed a 12 x 8 x 6cm echogenic mass. CECT abdomen suggested a well distended stomach with mixed density lesion surrounded by oral contrast. Upper gastrointestinal endoscopy confirmed a large bezoar. The patient underwent laparotomy with gastrotomy and removal of bezoar. It had a tail like extension in the duodenum (Figure 1).
Both patients were discharged after appropriate parental and psychiatric counselling.

What is the diagnosis_?
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