The gastric trichobezoar is a rare disease with an easy diagnosis when the context is quite evocative. Psychiatric disorders such as trichotillomania (referring to a patient’s repetitive behavior consisting on pulling out one's own hair to the extent of removing the hair on entire zones of the scalp, which leads to an obvious alopecia) are frequently the underlying reason in patients without a history of gastric surgery. Bezoars maybe clinically asymptomatic or report chronic abdominal pain, dyspepsia, gastric ulcers, gastrointestinal hemorrhage, perforation due to pressure necrosis, intestinal intussusceptions, andileus. In this article, we presented a giant gastric trichobezoar cat using a peritonitis by gastric perforation in a 35-year-old woman three days after premature birth. She was initially treated with an emergency surgical intervention and the extraction was performed through gastrotomy, without complications. Psychiatric follow-up was recommended.
