Trichobezoar is a term used to describe trapped hairball masses seen in gastrointestinal tract of, commonly, young adolescent females with underlying psychiatric illness. This is a case report on a 14-year-old Indian female who presented with abdominal pain and features of intestinal obstruction, diagnosed with trichobezoar on CT scan. She underwent laparotomy and removal of large gastric trichobezoar and satellite trichobezoar in jejunum. This report also includes a review of recent literature on investigations and treatment of trichobezoar and highlights the necessity of psychiatric evaluation.

Keyword: Trichobezoar, trichotillomania, trichophagia, intestinal obstruction, Rapunzel syndrome, endoscopy, laparoscopy, open laparotomy in trichobezoar.

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RC Sreekumar

Professor, Department of General Surgery, Government Medical College, Thiruvananthapuram, India