Gastric trichobezoars are commonly observed in young women with trichotillomania and trichophagia. We encountered an 8-year-old girl who had trichotillomania and trichophagia with abdominal pain and a mass, which was diagnosed as a large gastric trichobezoar. On physical examination, a huge, firm nontender mobile mass was palpated in her epigastrium. An upper gastrointestinal series and abdominal computed tomography (CT) scan showed a large mass in the stomach. Endoscopic removal was tried but failed. Laparoscopic removal was therefore performed. The trichobezoar was successfully retrieved through a gastrotomy and removed through an extended umbilical trocar incision. This case demonstrates that laparoscopic removal of large gastric trichobezoars is feasible and safe without a large abdominal incision.
Microfibres and health: State of the evidence and research gaps P. Taptiklis, M. Boulic, R. Phipps, H. Van Heerden, C. Shaw Journal of Hazardous Materials Advances.2025; 19: 100766. CrossRef
Endoscopic Treatment of Gastric Bezoars: A Report of Three Cases Younghee Choe, Joon Sung Kim, Byung-Wook Kim The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(3): 286. CrossRef
Successful Laparoscopic Removal of a Huge Trichobeozar in Cases of Rapunzel Syndrome in Children Seok-Kyung Kang, Soo-Hong Kim, Yong-Hoon Cho Journal of Acute Care Surgery.2021; 11(1): 39. CrossRef
