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Gastroenterology2 papers

Trichobezoar

Last edited: 4/10/2026

Overview

Trichobezoars are a rare cause of upper gastrointestinal symptoms, most commonly occurring in young females with trichophagia 1. They are gastric foreign bodies composed of ingested hair 1.

Diagnosis

  • Diagnosis is typically made via imaging studies such as upper endoscopy, barium studies, or CT scans 1.
  • Symptoms can include abdominal pain, nausea, vomiting, and early satiety 1.
  • Complications can include pancreatitis and gastrointestinal perforation 1.

    • Management

  • Endoscopic removal is often the first-line treatment for smaller trichobezoars 1.
  • Surgical intervention may be necessary for larger or complicated trichobezoars 1.
  • Management of underlying trichophagia is crucial to prevent recurrence 1.

    • Special Populations

  • Most commonly occur in young females 1.

    • Key Recommendations

  • Consider trichobezoars in young females presenting with upper gastrointestinal symptoms and a history of trichophagia 1. (Evidence: Expert opinion)
  • Utilize imaging modalities such as upper endoscopy, barium studies, or CT scans for diagnosis 1. (Evidence: Expert opinion)
  • Endoscopic removal is a primary treatment option for suitable trichobezoars 1. (Evidence: Expert opinion)
  • Surgical intervention should be considered for large or complicated trichobezoars 1. (Evidence: Expert opinion)

    • References

    1 Mekisic A, Farmer E. Trichobezoars. The Australian and New Zealand journal of surgery 1994. link

    Original source

    1. [1]
      Trichobezoars. — Mekisic A, Farmer E The Australian and New Zealand journal of surgery (1994)
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