A 7-year 8-month-old female intact Egyptian False Water Cobra (Malpolon moilensis) presented for evaluation of oral commissure swelling. Bilateral abscesses with tan-yellow exudate were observed on examination. The abscesses were debrided but bacterial cultures and CT scan were declined at the time. Initial treatment was injectable enrofloxacin and meloxicam. After 2 weeks the swelling had progressed bilaterally with extension dorsally and caudally. Cytology of the swelling revealed inflammatory cells, but no infectious agents or neoplastic cells. Ceftazidime was substituted for enrofloxacin. The right oral commissure swelling improved at 4 weeks but persisted at the left oral commissure. CBC and biochemistry showed an azurophilia with marked toxic changes. Weight loss and anorexia were observed and the patient was given an assisted feeding. Topical treatments were initiated using dilute iodine and silver sulfadiazine cream. Biopsy and CT scan were recommended but declined. At 6 weeks of treatments the swelling was static but scale deviation was observed dorsally. Closer examination revealed a 30cm human hair impacted within the oral commissures bilaterally and passing across the dorsal cranium. Examination of photographs from previous visits confirmed this hair to be present at 2 weeks of treatment. This hair was removed and current treatments continued. At 8 weeks of treatments swelling was improved bilaterally. Ceftazidime was discontinued but other treatments were continued until clinical resolution. This case highlights the importance of a thorough physical examination and photographic documentation of patients to monitor progress and verify the duration of later discovered abnormalities in the management of wounds.