Background:

the tricobezoar is not very frequent and the syndrome of Rapunzel is very strange, but it should be taken into account as differential diagnosis in girls with psychological dysfunctions and trichophagia that refer or not gastrointestinal manifestations.

Objective:

to present the case of a nine year-old school girl with trichophagia history that goes to service of Gastroenterology to present palpable tumor in epigastrium.

Case report:

patient of nine years, feminine that presents trichotollomania and trichophagia since she was two years old, she goes for palpable tumor in lengthened epigastrium, without other clinical manifestations.

Conclusions:

early diagnosis of trichobezoar avoids complications that can be serious, and multidisciplinary management with the psychiatry service is recommended to control the underlying disease. The evolution of the patient was favorable.

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