We present the case of an 11-year-old female patient who came to the ER complaining of epigastric pain. In the last four years, the girl suffered from trichotillomania and trichophagia. Clinically, the abdomen was tender on palpation and a hard epigastric mass was present. The abdominal CT scan showed the presence of a gastric bezoar. Upper GI endoscopy confirmed the presence of a trichobezoar occupying the entire gastric lumen, extending to the second part of the duodenum. After three days, totaling 9 hours of work in the endoscopy room and using various endoscopic accessories, the success of the endoscopic extraction attempt was only partial, the complete removal of the trichobezoar requiring surgical intervention.

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