A trichobezoar is a hairball usually confined to the stomach of almost exclusively young females, and typically results from the patient pulling out her hair (trichotillomania) and swallowing it (trichophagia). We describe a case of recurrent gastric trichobezoars in a young female with trichophagia who presented at the ages of 18, 21, and 25 years old with similar complaints of epigastric discomfort, early satiety, loss of appetite, intermittent nausea, and very foul smelling burps. At each presentation, endoscopy revealed a gastric trichobezoar and endoscopic fragmentation efforts were unsuccessful. The first two trichobezoars were removed via laparoscopic gastrotomy. The most recent and largest of the three trichobezoars required laparotomy secondary to dense adhesions. The patient and her parents persistently refused psychiatric consultation and outpatient follow-up which is an integral aspect of preventing trichobezoar recurrence.
