Abstract
Objetive: Report a case of intestinal obstruction caused by mass formed from the ingestion of pellets. Case report: This is a female patient, 15 years old, seeking the emergency room service for 15 days without constipation. comorbidities known to date. After intestinal lavage with glycerinated clister, it was evaluated with improvement and discharge on the same day. After 24 hours, he evolved with fecal vomiting, abdominal distension and unmeasured fever. After hemodynamic stabilization, computed tomography of the abdomen was performed, evidencing signs of intestinal obstruction without obvious obstructive factor. Exploratory laparotomy was indicated for better evaluation and treatment of the case. Discussion: Trichobezoars are rare causes in the general population, but in specific populations, such as female adolescents, for example, tend to be more common. Nevertheless, only the surgical treatment is not enough in the treatment, and it should be referred to the social services, psychology and psychiatry, to avoid new cases and complications.