Unusual Location of a Gastric Perforation Due to a Huge Trichobezoar

Trichobezoar is defined by the presence of an intragastric foreign body formed by hair or textile fibers. It is a rare condition that usually occurs in adolescents with mental health problems. The clinical symptoms are very varied and the diagnosis is often suspected on radiology and endoscopy, but sometimes certain complications such as peritonitis can be revealing. The treatment associates surgical and psychological care. We report the observation of a 14-year-old girl hospitalized with acute generalized peritonitis, clinical and radiological investigations concluded in a Trichobezoar complicated by gastric perforation. The treatment was surgical with pre and post-operative resuscitation. The evolution was favorable thereafter with a child psychiatric follow-up for the young adolescent. At the end of this observation, we highlight the possible complications of Trichobezoar and their management.