An Unusual Culprit: Trichobezoar Bezoar Presenting as an Abdominal Mass in a Child

Dana Alsulaim; Ghada Alqahtani; Abdulaziz Alshalan; Yara Algoraini

doi:10.24911/IJMDC.51-1767229935

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Case Report
Online Published: 21 Jan 2026

IJMDC. 2026; 10(1): 581-584

doi: 10.24911/IJMDC.51-1767229935

An unusual culprit: mixed bezoar presenting as an abdominal mass in a child

Dana Alsulaim, Ghada Alqahtani, Abdulaziz Alshalan, Yara Algoraini.

Abstract
Background: Mixed bezoars, comprising multiple types of indigestible materials within the gastrointestinal tract, are particularly rare in children.
Case presentation: A 9-year-old girl with a history of chronic constipation and pica (ingestion of hair, rubber bands, dried nail polish, and seeds) presented with weight loss, poor oral intake, and recurrent bilious vomiting. Physical examination revealed abdominal distension and a palpable mass in the right upper quadrant. Computed tomography revealed a significant intragastric bezoar. She underwent exploratory laparotomy and complete bezoar removal, with no postoperative complications. Multidisciplinary follow-up included psychiatric evaluation and nutritional guidance.
Conclusion: This case highlights the importance of a high index of suspicion for bezoars in pediatric patients presenting with unexplained abdominal masses, vomiting, or weight loss, especially in those with behavioral risk factors such as pica.

Key words: Mixed bezoar, Pica, pediatric, abdominal mass, trichobezoar, case report.

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Pubmed Style

Alsulaim D, Alqahtani G, Alshalan A, Algoraini Y. An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. IJMDC. 2026; 10(1): 581-584. doi:10.24911/IJMDC.51-1767229935

Web Style

Alsulaim D, Alqahtani G, Alshalan A, Algoraini Y. An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. https://www.ijmdc.com/?mno=305180 [Access: January 25, 2026]. doi:10.24911/IJMDC.51-1767229935

AMA (American Medical Association) Style

Alsulaim D, Alqahtani G, Alshalan A, Algoraini Y. An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. IJMDC. 2026; 10(1): 581-584. doi:10.24911/IJMDC.51-1767229935

Vancouver/ICMJE Style

Alsulaim D, Alqahtani G, Alshalan A, Algoraini Y. An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. IJMDC. (2026), [cited January 25, 2026]; 10(1): 581-584. doi:10.24911/IJMDC.51-1767229935

Harvard Style

Alsulaim, D., Alqahtani, . G., Alshalan, . A. & Algoraini, . Y. (2026) An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. IJMDC, 10 (1), 581-584. doi:10.24911/IJMDC.51-1767229935

Turabian Style

Alsulaim, Dana, Ghada Alqahtani, Abdulaziz Alshalan, and Yara Algoraini. 2026. An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. International Journal of Medicine in Developing Countries, 10 (1), 581-584. doi:10.24911/IJMDC.51-1767229935

Chicago Style

Alsulaim, Dana, Ghada Alqahtani, Abdulaziz Alshalan, and Yara Algoraini. "An unusual culprit: mixed bezoar presenting as an abdominal mass in a child." International Journal of Medicine in Developing Countries 10 (2026), 581-584. doi:10.24911/IJMDC.51-1767229935

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Alsulaim, D., Alqahtani, . G., Alshalan, . A. & Algoraini, . Y. (2026) An unusual culprit: mixed bezoar presenting as an abdominal mass in a child. International Journal of Medicine in Developing Countries, 10 (1), 581-584. doi:10.24911/IJMDC.51-1767229935

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