Bezoars are conglomerates of food or fiber in the alimentary tract of
humans and certain animals, mainly ruminants. In adults, bezoars are m
ost frequently encountered after a gastric operation, but in children,
bezoars are associated with pica, mental retardation, and coexistent
psychiatric pathologic disorders. We describe a 4-year-old girl with t
richotillomania in whom a gastric trichobezoar resulted in failure to
gain weight, iron deficiency anemia, and a painless epigastric mass. T
he causes of gastric bezoars are discussed, with emphasis on diagnosti
c considerations, treatment options, and preventive measures.