Pediatric case of trichobezoar leading to gastric perforation

Trichobezoars, or hairballs, are rare gastrointestinal masses often associated with psychiatric disorders like trichotillomania and trichophagia. Mostly seen among young females, they can cause severe gastrointestinal complications, including gastric ulceration and, subsequently, perforation. We reported a case of a young female with abdominal pain and vomiting diagnosed with a perforated gastric ulcer secondary to a bezoar. After emergency surgery and postoperative care, psychiatric evaluation confirmed trichotillomania with trichophagia which ultimately aided in the development of a comprehensive care plan. This case underscores the importance of considering trichobezoars in similar cases and highlights the role of emergent care.