Highlights Trichobezoar is a rare disorder that almost exclusively affects young females. We present a review of the main characteristics of this disease with a case of gastric outlet obstruction. A treatment should be coupled to psychiatric evaluation and therapy to prevent recurrence.

A 52-year-old male patient with psychiatric medical history who presented to the emergency department five times during a period of 5 years due to gastric outlet obstruction manifested mainly by abdominal pain, vomiting and haematemesis after intentionally ingesting metals and which necessitate several surgical interventions. Lately, he presented with generalised peritonitis due to gastric perforation from metal bezoars. Chronic abdominal symptoms in patient having a psychiatric disorder can be due to foreign body ingestion. Treatment is often surgical and the whole digestive tract should be explored to avoid retained bezoars.

Highlights Amebomas are an uncommon complication of invasive amebiasis. If a typical clinical picture of amebic colitis, diagnosis may be difficult. A luminal agent may be used to eradicate carriage post amebiasis treatment. Amebomas respond well to high-dose metronidazole.