A Massive Gastric Trichobezoar In a Young Female, a Case Report

Basem Badwan, Shadi Awad, Mohammad Al-Share, Mohammad Abu-Jeyyab, Hanan Al-Asbahi, Michleen Al-Awabdeh, Maysaa Al-Khalaileh


Trichobezoar is a rare condition caused by the accumulation of foreign material, specifically hair, into the gastrointestinal tract. Underlying psychiatric disorders are common among patients diagnosed with bezoars. This condition is most commonly associated with trichophagia, trichotillomania might also be present. Typically, this disorder is acquainted in adolescent females who complain of alopecia, along with an upper abdominal mass which might cause gastric outlet obstruction. However, many cases of Trichobezoars of different ages, including infants, have been reported. In this case report, a case of an 18-year-old female with gastric outlet obstruction is demonstrated.


Trichobezoar, Trichophagia, Trichotillomania, Gastric outlet obstruction, Young, Massive

Full Text:



LaGrandeur W, Zukowski M. Large Trichobezoar in School-Aged Girl Presenting to the Emergency Department with Hematemesis. J Emerg Med. 2021 Dec;61[6]:e167-e169. doi: 10.1016/j.jemermed.2021.07.040. Epub 2021 Sep 24. PMID: 34565634.

Niţă AF, Hill CJ, Lindley RM, Marven SS, Thomson MA. Human and Doll's Hair in a Gastric Trichobezoar, Endoscopic Retrieval Hazards. J Pediatr Gastroenterol Nutr. 2020 Aug;71[2]:163-170. doi: 10.1097/MPG.0000000000002779. PMID: 32404761.

Bashir EA, Samiullah, Sadiq MA, Yusuf O, Karim K. Rapunzel syndrome. J Ayub Med Coll Abbottabad. 2010 Oct-Dec;22[4]:218-20. PMID: 22455302.

Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA. Management of trichobezoar: case report and literature review. Pediatr Surg Int. 2010 May;26[5]:457-63. doi: 10.1007/s00383-010-2570-0. Epub 2010 Mar 6. PMID: 20213124; PMCID: PMC2856853.

Castrillón Peña EL, Espinosa Moreno MF, Barrios Torres JC, Forero Niño EE. Tricobezoar gastroduodenal en la edad escolar: Caso clínico [Gastroduodenal Trichobezoar in school age: Case report]. Arch Argent Pediatr. 2019 Jun 1;117[3]:e284-e287. Spanish. doi: 10.5546/aap.2019.e284. PMID: 31063318

Ventura DE, Herbella FAM, Schettini ST, Delmonte C. Rapunzel syndrome with a fatal outcome in a neglected child. J Pediatr Surg. 2005;40:1665–1667. doi: 10.1016/j.jpedsurg.2005.06.038. [PubMed] [CrossRef] [Google Scholar]

Mehta MH, Patel RV. Intussusception and intestinal perforations caused by multiple trichobezoars. J Pediatr Surg. 1992;27:1234–1235. doi: 10.1016/0022-3468[92]90797-B. [PubMed] [CrossRef] [Google Scholar]

Schreiber H, Filston HC. Obstructive jaundice due to gastric trichobezoar. J Pediatr Surg. 1976;11:103–104. doi: 10.1016/0022-3468[76]90182-2. [PubMed] [CrossRef] [Google Scholar]

Hossenbocus A, Colin-Jones DG. Trichobezoar, gastric polyposis, protein losing enteropathy and steatorrhoea. Gut. 1973;14:130–132. doi: 10.1136/gut.14.9.730. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Shawis RN, Doig CM. Gastric trichobezoar with transient pancreatitis. Arch Dis Child. 1984;59:994–995. doi: 10.1136/adc.59.10.994. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

O'sullivan, M.J., McGreal, G., Walsh, J.G. and Redmond, H.P., 2001. Trichobezoarbezoar. Journal of the Royal Society of Medicine, 94[2], pp.68-70.

Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA. Management of trichobezoarbezoar: case report and literature review. Pediatr Surg Int. 2010 May;26[5]:457-63. doi: 10.1007/s00383-010-2570-0. Epub 2010 Mar 6. PMID: 20213124; PMCID: PMC2856853.

Lyons, D., 2019. Large gastric trichobezoarbezoar causing failure to thrive and iron deficiency anaemia in an adolescent girl: a case report emphasising the imaging findings and review of the literature. BJR| case reports, 5[2], p.20180080

Sood, A.K., Bahl, L., Kaushal, R.K., Sharma, V. and Grover, N., 2000. Childhood trichobezoarbezoar. The Indian Journal of Pediatrics, 67[5], pp.390-391.

Pace, A.M. and Fearne, C., 2003. Trichobezoarbezoar in a 13 year old male: a case report and review of literature.

Hamidi, H., Muhammadi, M., Saberi, B., & Sarwari, M. A. [2016]. A rare clinic entity: Huge trichobezoarbezoar. International journal of surgery case reports, 28, 127–130.

Ersoy, Y.E., Ayan, F., Ayan, F. and Ersan, Y., 2009. Gastro-intestinal bezoars: thirty-five years experience. Acta Chirurgica Belgica, 109[2], pp.198-203.

Ripollés T, García-Aguayo J, Martínez MJ, Gil P. Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 2001 Jul;177[1]:65-9. doi: 10.2214/ajr.177.1.1770065. PMID: 11418400.

De Backer, Antoine; Van Nooten, Vera*; Vandenplas, Yvan† Huge Gastric Trichobezoar in a 10-Year-Old Girl: Case Report With Emphasis on Endoscopy in Diagnosis and Therapy, Journal of Pediatric Gastroenterology & Nutrition: May 1999 - Volume 28 - Issue 5 - p 513-515

Al-Janabi, I.S., Al-Sharbaty, M.A., Al-Sharbati, M.M. et al. Unusual trichobezoar of the stomach and the intestine: a case report. J Med Case Reports 8, 79 [2014]. https://doi.org/10.1186/1752-1947-8-79

DOI: https://doi.org/10.7575/aiac.abcmed.v.10n.3p.24


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine