HighlightsTrichobezoar is frequently dismissed in the differential diagnosis of young female patients with a history of trichophagia and trichotillomania, chronic abdominal pain, nausea, and vomiting.MRE is useful, particularly in young people who must not be exposed to unnecessary CT radiation.Esophagoduodenogastroscopy is also helpful.Management options for the treatment of the trichobezoar include surgical removal by laparotomy or laparoscopically, while laparotomy is widely considered as the treatment of choice for complicated trichobezoars.Psychiatric review post operatively must be completed to reduce recurrence.