{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:57:21Z","timestamp":1771549041488,"version":"3.50.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gastric trichobezoars are rare and often pose a diagnostic challenge due to their nonspecific symptoms and association with underlying psychiatric disorders. In this case, a 14-year-old girl presented with a 3-month history of intermittent abdominal pain, vomiting, early satiety, and a palpable epigastric mass. Although she initially denied any history of trichophagia or trichotillomania, further questioning revealed a year-long habit of hair ingestion that began after an appendectomy. Contrast-enhanced computed tomography imaging confirmed a large gastric trichobezoar extending into the duodenum. Surgical removal of the mass was performed, followed by psychiatric and nutritional counseling. This case highlights the phenomenon of \u201chidden in plain sight,\u201d where behavioral causes of physical symptoms are initially overlooked. It emphasizes the importance of maintaining a high index of suspicion for trichobezoars in adolescents with vague gastrointestinal complaints and reinforces the need for a multidisciplinary approach to ensure accurate diagnosis, effective treatment, and comprehensive follow-up care.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf614","type":"journal-article","created":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T11:43:28Z","timestamp":1754135008000},"source":"Crossref","is-referenced-by-count":1,"title":["Hidden in plain sight: diagnostic challenges of gastric trichobezoar in an adolescent\u2014a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Nihal A","family":"Wadid","sequence":"first","affiliation":[{"name":"College of Medicine, Ras Al Khaimah Medical and Health Science University , Ras Al Khaimah ,","place":["Khuzam Road, Al Juwais (Al Qusaidat), P.O. Box 11172, Ras Al Khaimah, United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasha A","family":"Salama","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Ras Al Khaimah Medical and Health Science University , Khuzam Road, Al Juwais (Al Qusaidat), P.O. Box 11172, Ras Al Khaimah, United Arab Emirates"},{"name":"Department of Public Health and Community Medicine, Kasr El Aini Faculty of Medicine, Cairo University , Kasr El-Ainy Street, Garden City, P.O. Box 11562, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hesham A","family":"Hamdy","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ras Al Khaimah Medical and Health Science University ,","place":["Khuzam Road, Al Juwais (Al Qusaidat), P.O. Box 11172, Ras Al Khaimah, United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talaat M","family":"Tadross","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Ras Al Khaimah Medical and Health Science University ,","place":["Khuzam Road, Al Juwais (Al Qusaidat), P.O. Box 11172, Ras Al Khaimah, United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"2025081313060813300_ref1","first-page":"776","article-title":"Gastrointestinal bezoars: history and current treatment paradigms","volume":"8","author":"Eng","year":"2012","journal-title":"Gastroenterol Hepatol (N Y)"},{"key":"2025081313060813300_ref2","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s40792-023-01631-w","article-title":"The Rapunzel syndrome: a hairy tale","volume":"9","author":"Schuler","year":"2023","journal-title":"Surg Case Rep"},{"key":"2025081313060813300_ref3","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1097\/00006842-199809000-00025","article-title":"Trichobezoars in trichotillomania: case report and literature overview","volume":"60","author":"Bouwer","year":"1998","journal-title":"Psychosom 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follicle-specific keratins and their associated proteins in the non-human primate Macaca fascicularis","volume":"74","author":"Schweizer","year":"2006","journal-title":"Differentiation"},{"key":"2025081313060813300_ref12","first-page":"10859","article-title":"Gastric bezoars: analysis of 45 cases","volume":"20","author":"Alt\u0131ntoprak","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025081313060813300_ref13","first-page":"494","article-title":"Trichotillomania: clinical characteristics and psychiatric comorbidity","volume":"47","author":"Grant","year":"2006","journal-title":"Compr Psychiatry"},{"key":"2025081313060813300_ref14","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.genhosppsych.2013.01.013","article-title":"Recurrent trichobezoar due to trichophagia: a case report","volume":"35","author":"K\u0131rp\u0131nar","year":"2013","journal-title":"Gen Hosp 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