Giant Gastric Trichobezoar: A Rare Cause of Chronic Epigastric Pain
Fatima Machayi, Khaoula Haij, Asmaa Sadik, Hala Aouroud, Oussama Nacir, Fatima Ezzahra Lairani, Adil Ait Errami, Sofia OUBAHA, Zouhour Samlani, Khadija Krati
Asian Journal of Research and Reports in Gastroenterology · pp. 139–143 · Published 22 May 2026
10.9734/ajrrga/2026/v9i1215Abstract
Gastric trichobezoar is a rare cause of chronic digestive symptoms and gastric outlet obstruction, predominantly affecting young females. We report the case of an adolescent presenting with chronic epigastric pain and a large gastric mass. Imaging by abdominal computed tomography revealed a heterogeneous intragastric mass containing air bubbles, confirmed by endoscopy, making endoscopic extraction impossible. The patient persistently denied any history of trichophagia, highlighting the diagnostic challenge. Surgical gastrotomy allowed complete removal of the trichobezoar. This case highlights the the importance of considering gastric trichobezoar in young females with a gastric mass and chronic digestive symptoms, even in the context of denial, as well as the essential roles of imaging, endoscopy, surgery, and psychiatric follow-up to prevent recurrence.
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