• Hyung Jun Kwon and Jinyoung Park.
• Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.
• Medicine (Baltimore). 2023 Apr 21; 102 (16): e33589e33589.

RationaleGastric trichobezoars are a rare form of bezoar formed from swallowed human hair as well as hair from dolls or animals, blankets, and carpets. They usually develop in young women who are emotionally disturbed, depressed, or mentally retarded, with trichotillomania and trichophagia. They can lead to abdominal pain, gastric ulceration, bleeding, obstruction, and perforation.Patient ConcernsA 13-year-old girl was admitted to our institution with complaints of nausea, vomiting, and epigastric pain for 2 days. She underwent laparoscopic removal of a large gastric trichobezoar at our institution 5 years ago. A 12-year-old girl presented at our institution due to epigastric pain, dizziness, and melena for 2 days.DiagnosisThey were diagnosed with gastric trichobezoar by abdominal computed tomography scan and upper gastrointestinal endoscopy.InterventionsLarge gastric trichobezoars were removed via a mini-laparotomy.OutcomesThey recovered well postoperatively without complication.LessonsAlthough the recurrence of gastric trichobezoar after surgery is rare, few recurrent cases were reported in the literature. Therefore, psychiatric consultation and regular follow-up after treatment should be considered in the children and their parents to prevent the recurrence of gastric trichobezoar.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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