 Hi everyone, I am Dr. Saravanan, finally at PG from AVMC, Kondicherry. Today my topic for a paper presentation is a Gasic Piper Bazaar. Under the guidance of Dr. Prof. Sethish, Bazaar is a collection of non-digestible matters that usually accumulate in the stomach and can extend up to the small bubble. Lycomasus are the concretions of air and they are very rare presentation and usually found in young psychiatric females. They should be diagnosed and managed early despite their rarity so as to prevent complications like obstruction, perforation and bleeding. Bazaar is a rare cause of intestinal obstruction with an incidence of less than one percentage. Human hair is resistant to digestion and peristaltic movement because of its smoothness. Continuous incision of hair over a period of time can lead to the infection along with mucous and submaterial into the stomach. In some cases, however, the pycomasar extends through the pylorus and into the degenerate medium or even fauna. This condition is called the concerns syndrome which was first described by Bhagavad Gita. The patient, 18-year-old female patient, hasn't received complaints of the on and off vomiting for six months and a loss of appetite for four months and pain and lump in the abdomen for two months. On general physical examination, the patient was simple, well-looking female. Optimal examination will define smooth and hard intra-optiminal lump of 16-9 cm in the epigastric region. She had no history of fever and the pulse rate was normal and the bed pressure was 110 bar-70 kg on a systemic examination. The CVS and respiratory systems were normal. The patient was then referred to the radiology department from Sanjali to rule out any spheric mass. First, the patient came to the x-ray department. This is an AP abdomen radiograph showing the dilatation of the stomach by an upaski that occupies almost all of its gastric region with air around and total displacement of the transverse colon compatible with the gastric mass. Then ultrasound of the mass was done and it shows a linear, acoustic mass in the form of an arc passing posterior-acoustic shadowing. Then the patient was referred to CT abdomen. Abdominal scan with contrast medium shows the gastric lumen is occupied by heterogeneous material with predominance of low-density mass arranged in concentric wings of different densities and surrounded by oral contrast medium. Abdominal scans with contrast medium shows extension of gastric lumen material towards the first and second portions of the uredinum, favoring for upper-enzyl syndrome. The patient was then taken for gastrostomy. This is the specimen of the tricovisor extracted from gastrostomy in which a cluster of air is observed that adopts a contour of the stomach and the proximal uredinum. Diagnosis is the last tricovisor extending till the second part of uredinum known as upper-enzyl syndrome. This is a rare cause of intestinal obstruction with an incidence of less than one percent. Patient may be asymptomatic or exhibit non-specific symptoms such as epigastric pain, blotting, nausea, vomiting, pain plus or gastrointestinal injury. Abdominal CT scans are the study of sites for identification and evaluation of complications as well as to detect additional visors in the rest of the gastrointestinal tract. Ultrasound must be described as a characteristic finding. The linear arc-shaped acoustic band with a posterior acoustic shadow. The tricovisor is lost in the stomach and its distal part extends distally to the small intestine or descending colon. It is known as upper-enzyl syndrome. Other complications that may appear are perforation, keratinitis or formation of abscess. The differential diagnosis or remains of food in the stomach or the fecal matter in the intestine or peak the sign seen in the intestinal obstruction. Treatment of tricovisor is surgical. Laparotomy is the method of choice by means of gastrosomia and mass extraction or performing. In some cases, laparoscopy and endoscopy are occasionally done, depending upon the size of the muscles. Psychiatric assessment is needed for patient support and relapse of progression. Diagnostic images are based in the diagnosis of a bizarre because due to its non-specific symptoms and it is not clinically suspected. Diagnosis of a psychosis is possible only on imaging. Psychiatric and medical sequelae of pyrgitolomaniac should not be underestimated. Early diagnosis and treatment is really important to save the patient's life and recurrence. Laparotomy is considered a best treatment option. Although pharmacotherapy and behavioral assessments plays a useful role in patients' management. These are my references. Thank you.