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Updated: May 26, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children

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Published on: August 22, 2012

Trichobezoar.

¹Department of Diagnostic Radiology, NESCOM Hospital, Islamabad. aliamir09@gmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|December 15, 2011

Summary

A pediatric case report details a 13-year-old girl with abdominal mass and anemia due to trichobezoar, a hairball diagnosed via imaging and confirmed by endoscopy.

Area of Science:

Pediatric Gastroenterology
Surgical Case Reports

Background:

Trichobezoars are rare gastrointestinal masses formed by ingested hair.
Rapunzel syndrome, a specific type of trichobezoar, can cause significant abdominal symptoms.

Observation:

A 13-year-old female presented with nausea, abdominal mass, and anemia.
A 3-year history of hair ingestion was noted.
Physical examination revealed a palpable abdominal mass.

Findings:

Radiological studies including ultrasound, X-ray, and upper GI contrast confirmed a large abdominal mass.
Endoscopy verified the presence of a trichobezoar.
Surgical removal via gastrotomy was successful.

Implications:

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This case highlights the importance of considering trichobezoar in pediatric patients with unexplained abdominal masses and a history of hair ingestion.
Early diagnosis through a combination of clinical suspicion, radiology, and endoscopy is crucial for effective management.
Surgical intervention remains the primary treatment for large trichobezoars.