Gastric Trichobezoar in a 2-Year-Old Girl With Severe Malnutrition and Social Risk: A Case Report

This case report highlights the importance of considering gastric trichobezoar in young children presenting with chronic vomiting, malnutrition, and unexplained gastric masses, especially when there are signs of irregular alopecia and a history of hair ingestion. Diagnosis is confirmed through abdominal CT, and surgical removal via gastrotomy is the definitive treatment. Recurrence rates can reach 20% if underlying causes are not addressed. The condition is often linked to childhood pica and trichophagia, which are associated with neglect, psychosocial stress, malnutrition, and micronutrient deficiencies. A comprehensive multidisciplinary approach, including surgery, nutritional rehabilitation, psychological support, and child protection services, is crucial for preventing severe complications such as obstruction, perforation, and severe malnutrition.