In a landmark medical feat, doctors at SMS Hospital in Jaipur have successfully removed a 210-centimetre-long trichobezoar—a dense, compact mass of hair—from the stomach of a 14-year-old girl from Barara village in Agra district, Uttar Pradesh. This extraordinary case is believed to be the longest trichobezoar ever removed globally, surpassing the previous world record of 180 cm.Rare Case Presents Major Surgical ChallengeThe case posed significant surgical challenges. The trichobezoar had extended from the stomach into the small intestine, complicating the procedure. Surgeons were determined to extract it in one piece to avoid making multiple incisions in the intestine, which could increase complications.Despite the complexity of the situation, the surgical team completed the operation within two hours and did not require a blood transfusion. In an impressive display of surgical precision, the entire hairball was removed intact.Persistent Symptoms Lead to DiagnosisThe girl had been experiencing persistent abdominal pain and vomiting for over a month. Upon arrival at SMS Hospital, doctors noted a hard, elongated mass in her abdomen, stretching from her stomach to the area near her navel. A Contrast-Enhanced CT (CECT) scan revealed an unusually enlarged stomach filled with a foreign substance, prompting immediate intervention.Pica: The Psychological RootDoctors diagnosed the young patient with Pica, a psychological disorder in which individuals develop cravings for non-edible substances. Dr. Jeevan Kankaria from the hospital’s surgery department explained that the girl initially started eating chalk in school under peer influence. Over time, this progressed into the consumption of hair and other non-food items.“During surgery, we found not only hair but also wooden pieces, rubber bands, stones, threads, and other inedible materials entangled in the mass,” said Dr. Kankaria, who led the surgical team.A Record-Breaking Removal“When we measured the trichobezoar after removal, it was 210 cm long, which we believe is the longest ever taken out from a human stomach,” Dr. Kankaria stated. The hospital is now in the process of submitting the case to the Guinness World Records for official recognition. Dr. Kankaria already holds four Guinness World Records for previous surgical milestones.Patient’s Recovery and Future OutlookThe girl, a Class 10 student from a farming family, is currently recovering well under observation at SMS Hospital. Her post-operative condition is stable, and doctors expect to discharge her soon.This rare case highlights the critical need for early intervention in psychological disorders such as Pica and the importance of awareness among parents and educators. Dr. Kankaria stressed that behavioral and psychological support will be essential in the patient’s long-term recovery to prevent recurrence.As the medical team awaits potential recognition from the Guinness World Records, this groundbreaking surgery stands as a testament to the precision, planning, and teamwork of doctors at SMS Hospital—and serves as a crucial reminder of the unusual ways psychological disorders can manifest physically.