We report a 14-year-old girl who presented with epigastric pain, vomiting, and an upper abdominal mass. A diagnosis of trichobezoar was made on ultrasound and she went on to have a laparotomy, where a large trichobezoar was extracted with a tail that extended into the small intestine.

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HighlightsSpontaneous splenic rupture should be considered in patients presenting with peritonism without preceding trauma.Haematological and infectious causes, including Varicella Zoster, should be sought when investigating spontaneous splenic rupture.There is limited published guidance regarding the surgical options when faced with spontaneous splenic rupture.

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