DOI: 10.36347/sasjs

Pages: 218-220

Trichobezoars (hair ball) most commonly located in stomach may extend through the pylorus into duodenum and small intestine. Trichobezoars always almost associated with trichotillomania and trichophagia and other psychiatric disorder. We describe the case of 18 years old female with trichophagia who present to our OPD with chief complaints of abdominal pain and lump abdomen since 10 days associated with occasional episodes of vomiting. Patient had history of trichophagia. On palpation of her abdomen revealed approx. 10x7.5 cm firm, non-tender, mobile mass present in epigastric and umbilical region. Pallor and patchy alopecia present on general physical examination. Definative diagnosis established by upper GI Endoscopy. Conventional laparotomy is still treatment of choice with psychiatric consultation to prevent relapse.