Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosis difficult. We report the case of a 6-year-old girl with a history of abdominal pain, distension, weight loss, and attacks of vomiting. Upper gastrointestinal endoscopy revealed a trichobezoar occupying almost the whole gastric cavity. The gastric bezoar was removed by surgery. Gastric trichobezoar is exceptional in young children and can lead to stunting and gastric outlet obstruction. After definitive surgical or endoscopic treatment, pediatric psychiatric consultation should be opted for any mental disorder and for prevention of further recurrence.
Avissar, E., Goldberg, M. and Lernau, O. (1994) Bezoar-induced ulceration and perforation of the upper gastrointestinal tract in mentally retarded patients. Pediatric Surgery International, 9, 279-280. doi:10.1007/BF00832257
Kovács, V., Bruncák, P., Cseri, J. and Malatinec, J. (2002) Simultaneous bezoars in the stomach, ileum and cecum causing acute ileus in a 30-year-old imbecile-case report. Rozhledy Chirurgii, 81, 248- 251.
Mansour-Ghanaei, F., Herfatkar, M., Sedigh-Rahimabadi, M. and Lebani-Motlagh, M. (2011) Huge simultaneous trichobezoars causing gastric and small-bowel obstruction. Journal of Research in Medical Sciences, 16, 447-452.