[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-441647-105":59,"doc-detail-441647-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","pediatric-case-of-trichobezoar-leading-to-gastric-perforation","Pediatric case of trichobezoar leading to gastric perforation","","Trichobezoars, or hairballs, are uncommon gastrointestinal masses frequently associated with psychiatric disorders such as trichotillomania and trichophagia. They predominantly affect young females and may lead to serious complications including gastric ulceration and subsequent perforation. A young patient presented with abdominal pain and vomiting, and was diagnosed with a perforated gastric ulcer secondary to a bezoar. After emergency surgery and postoperative care, psychiatric assessment confirmed trichotillomania, supporting a comprehensive management plan. The case highlights considering trichobezoars in similar presentations and the value of emergent treatment.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pediatric-case-of-trichobezoar-leading-to-gastric-perforation/441647/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pediatric-case-of-trichobezoar-leading-to-gastric-perforation/441647.png","ImageObject",300,407,{"name":92,"@type":93},"Taylor Morgan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the main clinical problem described in this case report?","Question",{"text":113,"@type":114},"A pediatric patient developed a perforated gastric ulcer caused by a trichobezoar (hairball). The report emphasizes the severe complication of gastric perforation.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which psychiatric conditions are associated with trichobezoars in the report?",{"text":118,"@type":114},"The case links trichobezoars to trichotillomania and trichophagia. Psychiatric evaluation after surgery confirmed trichotillomania with hair ingestion behavior.",{"name":120,"@type":111,"acceptedAnswer":121},"Why is emergent care important for patients with suspected trichobezoars?",{"text":122,"@type":114},"Trichobezoars can cause mechanical obstruction, erosion, peritonitis, and sepsis if not promptly treated. The report highlights the role of urgent intervention to reduce complications.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},441647,1790740245,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":105,"preview_page_count":4},1099523885336,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Radiology Ca s e Reports 21 (2026) 1121 – 1126  \nAvailable online [at](at www.sciencedirect.com)[ www.sciencedirect.com](at www.sciencedirect.com)  \njournal [homepage:](homepage: www.elsevier.com/locate/radcr)[ www.elsevier.com/locate/radcr](homepage: www.elsevier.com/locate/radcr)  \n| Case Report\u003Cbr>Pediatric case of trichobezoar leading to gastric perforation ✩\u003Cbr>Rahaf Almoallim, MDa,∗, Nadia Safa, MDb, Arbaaz Patel, MDa, Helene Flageole, MD, MScb, Muhammed Danish Barakzai, MBBS, FCPS, FRCRc\u003Cbr>a Department of Medical Imaging, McMaster University, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada b Division of Pediatric Surgery, McMaster Children’s Hospital, McMaster University, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada\u003Cbr>c Department of Medical Imaging, McMaster Children’s Hospital, McMaster University, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada |  |  |\n| --- | --- | --- |\n| a r t i c l e i n f o |  | a b s t r a c t |\n| Article history:\u003Cbr>Received 5 August 2025 Revised 19 November 2025 Accepted 20 November 2025 |  | 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.\u003Cbr>© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.\u003Cbr>This is an open access article under the CC BY-NC-ND license\u003Cbr>([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)) |\n| Keywords:\u003Cbr>Gastric trichobezoar\u003Cbr>Gastric perforation\u003Cbr>Trichotillomania\u003Cbr>Trichophagia\u003Cbr>Rupunzel syndrome |  |  |\n\nRapunzel syndrome is a well-documented, rare disorder characterized by severe gastric trichobezoars that extend into the small intestine and colon via tail-like trichobezoars. It was first identified in 1968 and is named after the Grimm Brothers’ fairy tale character [2,3]. This condition is more common among paediatric patients, primarily affecting young females [3–6] . It is linked to psychiatric disorders like trichotillomania, which is a psychiatric illness characterized by repetitive, compulsive, and self-induced hair pulling, and trichophagia (hair-eating) . Due to its smooth texture, human hair is resistant to breakdown by digestive enzymes and peri-  \n✩ Competing Interests: The authors have declared that no competing interests exist. The author is an Editorial Board Member/Editorin-Chief/Associate Editor/Guest Editor for this journal and was not involved in the editorial review or the decision to publish this article.  \n∗ Corresponding author.  \nE-mail address: [almoallr@mcmaster.ca](almoallr@mcmaster.ca) (R. Almoallim).  \n[https://doi.org/10.1016/j.radcr.2025.11.060](https://doi.org/10.1016/j.radcr.2025.11.060)  \n1930-0433/© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/))  \nFig. 1 – Erect and supine radiographs were obtained. (A) Erect view shows small lucencies in the right subdiaphragmatic region, suggesting pneumoperitoneum and (B) Supine view shows a faint opacity with patchy lucencies extending from the left to the right lower quadrant, likely a gastric bezoar causing mass effect without features of gastric obstruction. Minimal fecal loading is seen, with another faint lucency in the left","cbCaigru1GYfM0H7","https://ap.wps.com/l/cbCaigru1GYfM0H7","pdf",1986168,"English","# Case report\n## Case presentation\n## Imaging and diagnosis\n## Surgical management and postoperative care","[{\"question\":\"What is the main clinical problem described in this case report?\",\"answer\":\"A pediatric patient developed a perforated gastric ulcer caused by a trichobezoar (hairball). The report emphasizes the severe complication of gastric perforation.\"},{\"question\":\"Which psychiatric conditions are associated with trichobezoars in the report?\",\"answer\":\"The case links trichobezoars to trichotillomania and trichophagia. Psychiatric evaluation after surgery confirmed trichotillomania with hair ingestion behavior.\"},{\"question\":\"Why is emergent care important for patients with suspected trichobezoars?\",\"answer\":\"Trichobezoars can cause mechanical obstruction, erosion, peritonitis, and sepsis if not promptly treated. The report highlights the role of urgent intervention to reduce complications.\"}]","Pediatric case of trichobezoar leading to gastric perforation | PDF",1790696930]