Background: 16 y/o woman presents with a history of ingesting hair since the age of 2 years. The patient complained of early satiety, nausea and vomiting. On esophagogastroduodenoscopy (EGD), a large trichobezoar was identified.

Summary: Our patient presented at age 16 with nausea and vomiting. Her history included trichotillomania since age of 2. She underwent an EGD as well as a CT scan and a large trichobezoar was identified that extended into her duodenum. Given the size of the bezoar, a surgical approach was recommended for extraction. It was elected to approach this laparoscopically. The patient was laid supine. The greater curvature of the stomach could be easily palpated. The trocars were placed in an arch, about 5 centimeters distal to greater curvature. A gastrotomy was made in the mid body of the stomach. The bezoar was easily identified and was then removed from the gastric lumen and placed in a laparoscopic retrieval bag. The gastrotomy was then closed using a stapler and the bezoar was then delivered through a pfannenstiel incision. The patient recovered well and was discharged on postoperative day 5 after tolerating a diet.

Conclusion: Trichobezoar is a rare diagnosis in children and teenagers, here we present resection of a large trichobezoar via minimally invasive laparoscopic approach.