# Giant Trichobezoar Extending to the Ileocecal Junction in a 3-Year-Old Female: A Rare Case Report

## TL;DR

A 3-year-old child had a rare giant trichobezoar reaching her ileocecal junction, composed of hair and synthetic materials, highlighting unique diagnostic and surgical challenges.

## Contribution

This is the youngest reported case of a giant trichobezoar with mixed composition, emphasizing socio-environmental factors and surgical importance.

## Key findings

- The trichobezoar extended to the ileocecal junction and was composed of hair, cotton threads, and synthetic materials.
- Contrast-enhanced CT localized the mass to the jejunum, but surgery revealed its full extent.
- The case underscores the need for thorough surgical exploration in pediatric trichobezoar cases.

## Abstract

This report details a rare case of a 3-year-old female from a low-income laborer family presenting with a giant trichobezoar extending to the ileocecal junction (ICJ), the youngest documented case with mixed composition (hair, cotton threads, and synthetic materials). Contrast-enhanced computed tomography (CECT) localized the mass to the jejunum, but intraoperative exploration revealed an approximately 145-cm bezoar reaching the ICJ. The case highlights socio-environmental risk factors, diagnostic imaging limitations, and emphasizes the importance of complete surgical exploration in pediatric trichobezoar management.