Short communication| Volume 283, P164-166, April 2023

Trichobezoar-A rare cause of hyperemesis in a pregnant woman

Published:February 21, 2023DOI:


      Bezoars consist of ingested foreign material or organic matter which forms a mass in the gastrointestinal tract, usually in the stomach. Trichobezoars formed by swallowed hair may present with vomiting, malnutrition, weight loss or abdominal pain with signs of gastrointestinal obstruction. There are limited case reports of Trichobezoar during pregnancy. We present a case of young pregnant women who was admitted on few occasions with vomiting in early pregnancy and was treated as hyperemesis gravidarum. Failure of response to conventional management prompted further investigation, revealing trichobezoar. Our case highlights the diagnostic challenge posed by trichobezoars in young pregnant women.


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        • Shehmar M.
        • MacLean M.A.
        • Nelson-Piercy C.
        • Gadsby R.
        • O’Hara M.
        Management of nausea and vomiting in pregnancy and Hyperemesis gravidarum.
        Green top Guideline. 2016; 69
        • Shahab M.A.
        • Shahab A.
        • Javid S.
        Management of Rapunzel Syndrome in a Four-month Pregnant Female with Twins: The First Reported Case.
        Cureus. 2018; 10 (Published 2018 Jul 24)
      1. Coulter R, Antony MT, Bhuta P, Memon MA. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. South Med J.

        • Belsky J.
        • Whitcomb V.
        • Zimmerman E.
        • Stankovic C.
        Rapunzel syndrome: diagnosis via radiograph and history.
        Pediatr. Emerg. Care. 2014 May; 30: 352-353
        • Meyer-Rochow G.Y.
        • Grunewald B.
        Laparoscopic removal of a gastric trichobezoar in a pregnant woman.
        Surg. Laparosc. Endosc. Percutan. Tech. 2007; 17: 129-132
        • Salem M.
        • Fouda R.
        • Fouda U.
        • Maadawy M.E.
        • Ammar H.
        Rapunzel and pregnancy.
        South. Med. J. 2009; 102: 106-107