Bezoar is a foreign body found in the gastrointestinal tract due to ingestion of hair or vegetables. When hair is ingested and formed a mass it is called tichobezoar, this mass get complicated by gastric outlet obstruction or small bowel obstruction or presented simultaneously like in our case report. In this case report we presented our experience with a years old female who came to emergency department with signs of gastrointestinal obstruction .she was taken to operating room for exploration and relieve of mechanical obstruction. Trichobezoar with obstruction considered a surgical emergency and all general surgeons should be familiar with the diagnosis and management of this condition.
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