<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032026000100096</article-id>
<article-id pub-id-type="doi">10.31698/ped.53012026012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presentación inusual de masa abdominal por tricobezoar gástrico en una lactante mayor. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Unusual presentation of an abdominal mass due to a gastric trichobezoar in an older infant: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Schaerer]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamarra]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matoza]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas]]></surname>
<given-names><![CDATA[Cesar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espínola]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matsumura]]></surname>
<given-names><![CDATA[Kiichiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Previsión Social Hospital Central ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>53</volume>
<numero>1</numero>
<fpage>96</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032026000100096&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032026000100096&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032026000100096&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de una paciente femenina de 2 años que fue traída al servicio de urgencias pediátricas del Hospital Central del Instituto de Previsión Social por dolor abdominal de un mes de evolución, pérdida de peso y masa abdominal. La madre informó que la niña ingería su propio cabello, lo cual llevó a sospechar un tricobezoar. Tras un tratamiento inicial ineficaz para parasitosis, se realizó una tomografía que reveló la presencia de una masa inhomogénea en la cavidad gástrica, sugiriendo una obstrucción mecánica por tricobezoar. Se llevó a cabo una laparotomía exploradora y se extrajo el tricobezoar mediante gastrotomía. En el postoperatorio, la paciente fue tratada con antibióticos y se recuperó completamente. Fue dada de alta cinco días después con seguimiento psiquiátrico para abordar el hábito de ingestión de cabello. Este caso destaca la importancia de considerar el tricobezoar dentro del diagnóstico diferencial de masa abdominal incluso en edades poco habituales, a fin de evitar retrasos diagnósticos y complicaciones asociadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We present the case of a 2-year-old female patient who was brought to the pediatric emergency department of the Central Hospital of the Social Security Institute (IPS) with a one-month history of abdominal pain, weight loss, and an abdominal mass. The mother reported that the child was ingesting her own hair, leading to suspicion of a trichobezoar. After initial ineffective treatment for parasitosis, a CT scan revealed an inhomogeneous mass in the gastric cavity, suggesting mechanical obstruction by a trichobezoar. An exploratory laparotomy was performed, and the trichobezoar was removed via gastrostomy. Postoperatively, the patient was treated with antibiotics and made a full recovery. She was discharged five days later with psychiatric follow-up to address the hair-ingestion habit. This case highlights the importance of considering trichobezoars in the differential diagnosis of abdominal masses, even at unusual ages, to avoid diagnostic delays and associated complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bezoar]]></kwd>
<kwd lng="es"><![CDATA[tricobezoar gástrico]]></kwd>
<kwd lng="es"><![CDATA[lactante]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Rapunzel]]></kwd>
<kwd lng="en"><![CDATA[Bezoar]]></kwd>
<kwd lng="en"><![CDATA[gastric trichobezoar]]></kwd>
<kwd lng="en"><![CDATA[infant]]></kwd>
<kwd lng="en"><![CDATA[Rapunzel syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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