A 20-year-old female underwent surgery at a hospital in Delhi for removal of a 1.16 kg J-shaped trichobezoar that had accumulated in her stomach after nearly 11 years of hair eating. She presented with severe abdominal pain, nausea, and repeated vomiting, along with a longer history of poor appetite, weight loss, and fatigue. Examination revealed a firm upper abdominal mass, while upper gastrointestinal endoscopy showed a large hairball occupying much of the stomach. The trichobezoar had extended from the gastroesophageal junction toward the proximal small intestine, leaving little room for manipulation within the stomach.

Its considerable size and density also raised concerns about injury to the gastric wall during extraction. An initial attempt was made to fragment the mass endoscopically. However, the extent of the trichobezoar made complete endoscopic retrieval impractical. The…