{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:49:34Z","timestamp":1784141374620,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,20]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Trichobezoars are rare, but most commonly found in young women with trichophagia and trichotillomania. Complications can include iron deficiency anaemia and gastric erosion or, rarely, perforation. A 19-year-old woman presented with epigastric pain, vomiting and lethargy. Initial investigations revealed a palpable abdominal fullness on examination and iron deficiency anaemia. Oesophagogastroduodenoscopy found a large trichobezoar associated with gastric erosions, polyps and an ulcer. Subsequently, the patient reported previous consumption of artificial hair extensions, which ceased 5 years previously. Attempts to remove the trichobezoar by endoscopy were ineffective and in line with current literature, laparotomy was successful. This case describes a rare cause of trichobezoar and emphasises the importance of appropriate initial investigations and definitive management.<\/jats:p>","DOI":"10.1136\/bcr-2019-232720","type":"journal-article","created":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T04:55:16Z","timestamp":1580100916000},"page":"e232720","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Management of a trichobezoar caused by consumption of artificial hair extensions"],"prefix":"10.1136","volume":"13","author":[{"given":"Ria Emma","family":"Smith","sequence":"first","affiliation":[{"name":"General Surgery, Darent Valley Hospital, Dartford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaideep Singh","family":"Rait","sequence":"additional","affiliation":[{"name":"General Surgery, Darent Valley Hospital, Dartford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira","family":"Said","sequence":"additional","affiliation":[{"name":"General Surgery, Darent Valley Hospital, Dartford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shwetal","family":"Dighe","sequence":"additional","affiliation":[{"name":"General Surgery, Darent Valley Hospital, Dartford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,26]]},"reference":[{"key":"2025082723422790000_13.1.e232720.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01299861"},{"key":"2025082723422790000_13.1.e232720.2","article-title":"Gastric outlet obstruction caused by Trichobezoar","volume":"22","author":"Niramis","year":"2001","journal-title":"Thai J Surg"},{"key":"2025082723422790000_13.1.e232720.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2015.11.009"},{"key":"2025082723422790000_13.1.e232720.4","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.51.5.443"},{"key":"2025082723422790000_13.1.e232720.5","doi-asserted-by":"crossref","first-page":"A33","DOI":"10.1016\/j.cgh.2014.01.036","article-title":"A modern form of Rapunzel syndrome: Trichobezoar composed of synthetic hair extensions","volume":"12","author":"Kwong","year":"2014","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025082723422790000_13.1.e232720.6","doi-asserted-by":"crossref","unstructured":"Goddard A , James M , McIntyre A , et al . Guidelines for the management of iron deficiency anaemia. Bsg.org.uk, 2011. Available: https:\/\/www.bsg.org.uk\/resource\/guidelines-for-the-management-ofiron- deficiency-anaemia.html [Accessed Aug 2019].","DOI":"10.1136\/gut.2010.228874"},{"key":"2025082723422790000_13.1.e232720.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2570-0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:42:32Z","timestamp":1756363352000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,26]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-232720"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232720","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}