An unusual form of bezoars extending from the stomach to the small intestine or beyond has been described as Rapunzel syndrome. 25years female presented with history of mild epigastric abdominal pain and multiple episodes of vomiting since 4 days. Imaging detected large gastric trichobezoar with pneumoperitoneum suggestive of perforation. Patient was vitally stable with no peritoneal signs. She underwent laparotomy for removal of a trichobezoars weighing 700 grams. She was detected to have gastric ulcer with concealed perforation near lesser curve of stomach which did not require specific surgical management. Patient had good recovery.
Bezoars, Perforation, Pneumoperitoneum, Rapunzel syndrome, Trichobezoars.