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

This case report discusses a 2-year-old girl with severe malnutrition and social risk factors who was diagnosed with a gastric trichobezoar, a rare condition in children under 3 years. The report highlights the importance of considering gastric trichobezoar in cases of 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, associated with neglect, psychosocial stress, and nutritional deficiencies, necessitating a comprehensive multidisciplinary approach for management. Early recognition and holistic management are crucial to prevent severe complications such as obstruction, perforation, and further malnutrition.