Pediatric Radiology

, Volume 28, Issue 5, pp 315–316 | Cite as

CT appearances of the Rapunzel syndrome: an unusual form of bezoar and gastrointestinal obstruction

  • W. M. West
  • Newton D. Duncan


The CT appearances of an unusual type of trichobezoar which causes the Rapunzel syndrome are described. This syndrome is characterized by intestinal obstruction secondary to a bezoar possessing a tail which extends to or beyond the ileo-cecal valve. Most cases of bezoar are diagnosed with plain films or barium meal, but CT may be requested in patients who present with abdominal masses. The Rapunzel syndrome may be diagnosed with a combination of the CT findings and the history.


Barium Intestinal Obstruction Plain Film Abdominal Mass Barium Meal 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • W. M. West
    • 1
  • Newton D. Duncan
    • 2
  1. 1.Section of Radiology, University Hospital of the West Indies, Mona, Kingston 6, Jamaica, West IndiesJM
  2. 2.Section of Surgery, University of Hospital of the West Indies, Jamaica, West IndiesJM

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