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

Learning Points Gastric trichobezoar, though rare in children under 3 years, should be considered in cases of chronic vomiting, malnutrition, and unexplained gastric masses, particularly with clinical clues of irregular alopecia and history of hair ingestion. Abdominal CT is diagnostic, demonstrating a heterogeneous intragastric mass; surgical removal via gastrotomy is definitive treatment, with recurrence rates approaching 20% if underlying causes are unaddressed. Childhood pica and trichophagia are frequently associated with neglect, psychosocial stress, malnutrition, and micronutrient deficiencies, requiring comprehensive multidisciplinary intervention including surgery, nutritional rehabilitation, family psychological support, and child protection services evaluation. Early recognition and holistic management are essential to prevent life‐threatening complications such as obstruction, perforation, and severe malnutrition.