{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:02:04Z","timestamp":1768435324979,"version":"3.49.0"},"reference-count":16,"publisher":"Scientific Scholar","issue":"S 01","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":1760,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Trichobezoars are rarely described in the absence of trichotillomania. In this report we present a case of trichobezoar associated with trichophagia in the absence of trichotillomania. A 16-year-old girl presented to surgery outpatient with complaints of pain in abdomen and vomiting for the last 6 months. Physical examination revealed a 14 \u00d7 16 cm firm, tender, mass with smooth surface, irregular margins, which was mobile with respiration. Ultrasound abdomen revealed a bizarre lesion in the right upper and middle abdomen suggestive of gastric bezoars. Upper gastrointestinal endoscopy did not reveal any abnormality in the esophagus and showed a large mobile mass in the stomach. In view of trichobezoar, psychiatry consultation was sought. Exploration of history revealed that the patient was eating hairs and clay since early childhood. As per patient she would eat hairs thrown by others. She would like the taste of hair and had strong persistent desire to eat hair and would go out searching for the same. At times she would also eat clay. However, she denied of pulling her own hairs. Physical examination of scalp and other body parts did not show any evidence of alopecia or pulling of hair\/short hair. She was managed surgically and was counseled about the consequences of eating hairs and clays and was encouraged not to eat hair. To conclude our case suggests that patients can have trichobezoar and trichophagia even in the absence of trichotillomania.<\/jats:p>","DOI":"10.4103\/0976-3147.145204","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T06:04:26Z","timestamp":1416549866000},"page":"S055-S057","source":"Crossref","is-referenced-by-count":3,"special_numbering":"S","title":["Trichophagia along with trichobezoar in the absence of trichotillomania"],"prefix":"10.25259","volume":"05","author":[{"given":"Aseem","family":"Mehra","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajit","family":"Avasthi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.145204-1","first-page":"99","volume-title":"Rapunzel syndrome: A comprehensive review of an unusual case of trichobezoar","author":"Gonuguntla","year":"2009","journal-title":"Clin Med Res"},{"key":"key-10.4103\/0976-3147.145204-2","first-page":"934","volume-title":"Bezoars and concretions: A comprehensive review of the literature with an analysis of 303 collected cases and a presentation of 8 additional cases","author":"De","year":"1938","journal-title":"Surgery"},{"key":"key-10.4103\/0976-3147.145204-3","first-page":"5","volume-title":"Cotton bezoar-a rare cause of intestinal obstruction: Case report","author":"Chintamani,","year":"2003","journal-title":"BMC Surg"},{"key":"key-10.4103\/0976-3147.145204-4","first-page":"43","volume-title":"Trichophagia and trichobezoar: Case report","author":"Tiago","year":"2012","journal-title":"Clin Pract Epidemiol Ment Health"},{"key":"key-10.4103\/0976-3147.145204-5","first-page":"613","volume-title":"The fascinating history of bezoars","author":"Williams","year":"1986","journal-title":"Med J Aust"},{"key":"key-10.4103\/0976-3147.145204-6","first-page":"CS92","volume-title":"Recurrent Rapunzel syndrome-a case report","author":"Memon","year":"2003","journal-title":"Med Sci Monit"},{"key":"key-10.4103\/0976-3147.145204-7","first-page":"242","volume-title":"Hair apparent: Rapunzel syndrome","author":"Frey","year":"2005","journal-title":"Am J Psychiatry"},{"key":"key-10.4103\/0976-3147.145204-8","first-page":"1612","volume-title":"Rapunzel syndrome: A case report and review","author":"Western","year":"2008","journal-title":"J Gastrointest Surg"},{"key":"key-10.4103\/0976-3147.145204-9","first-page":"100","volume-title":"A rare outcome of iron deficiency and pica: Rapunzel syndrome in a 5-year-old child iron deficiency and pica","author":"Islek","year":"2014","journal-title":"Turk J Gastroenterol"},{"key":"key-10.4103\/0976-3147.145204-10","first-page":"33","volume-title":"Gastric tricho-wool bezoar in an 18-year-old girl","author":"Gurzu","year":"2013","journal-title":"S Afr J Surg"},{"key":"key-10.4103\/0976-3147.145204-11","first-page":"439","volume-title":"Recurrent trichobezoar due to trichophagia: A case report","author":"K\u0131rp\u0131nar","year":"2013","journal-title":"Gen Hosp Psychiatry"},{"key":"key-10.4103\/0976-3147.145204-12","first-page":"e128","volume-title":"Recurrent Rapunzel syndrome","author":"Tiwary","year":"2011","journal-title":"Singapore Med J"},{"key":"key-10.4103\/0976-3147.145204-13","first-page":"102","volume-title":"An unusual case report of Rapunzel syndrome trichobezoar in a 3-year-old boy","author":"Jain","year":"2011","journal-title":"Int J Trichology"},{"key":"key-10.4103\/0976-3147.145204-14","first-page":"127","volume-title":"A case of Rapunzel syndrome","author":"Kim","year":"2013","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"key":"key-10.4103\/0976-3147.145204-15","first-page":"282","volume-title":"Rapunzel syndrome: A rare presentation with multiple small intestinal intussusceptions","author":"Prasanna","year":"2013","journal-title":"World J Gastrointest Surg"},{"key":"key-10.4103\/0976-3147.145204-16","unstructured":"World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: World Health Organization; 1992."}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.145204.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T00:21:54Z","timestamp":1691194914000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/trichophagia-along-with-trichobezoar-in-the-absence-of-trichotillomania\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":16,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2019,9,26]]},"published-print":{"date-parts":[[2014,12]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.145204","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}