Abstract
This report details a rare case of a 3-year-old female from a low-income laborer family presenting with a giant trichobezoar extending to the ileocecal junction (ICJ), the youngest documented case with mixed composition (hair, cotton threads, and synthetic materials). Contrast-enhanced computed tomography (CECT) localized the mass to the jejunum, but intraoperative exploration revealed an approximately 145-cm bezoar reaching the ICJ. The case highlights socio-environmental risk factors, diagnostic imaging limitations, and emphasizes the importance of complete surgical exploration in pediatric trichobezoar management.