Trichobezoar: An Uncommon Cause of Upper Gastrointestinal Bleeding

A 21-year-old female presented with abdominal pain and upper GI bleeding, which was found to be caused by a massive trichobezoar, a hairball, extending from the stomach's fundus to the antrum. The trichobezoar, weighing 550 grams, was surgically removed using the single incision laparoscopic surgery (SILS) technique. Trichobezoars are associated with trichophagia and trichotillomania, primarily affecting women under 20. They can lead to complications like peptic ulcer disease and gastric perforation. Diagnosis is confirmed via upper GI endoscopy, and surgical removal is often necessary. Post-surgery, psychiatric care is recommended to address underlying compulsive behaviors and prevent recurrence.