Abstract
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.
Similar content being viewed by others
References
Schaper D, Jassoy A, Lässig W. Rapunzel syndrome grade I° due to trichobezoar. PedRad.info 2006 (online).
Frey A, McKee M, King R, Martin A. Hair apparent: Rapunzel syndrome. Am J Psychiatry 2005;162:242–248.
Vaughan ED, Sawyers J, Scott H. Rapunzel syndrome: An unusual complication of intestinal bezoar. Surgery 1968;63:339–343.
Grimm J, Grimm W. Rapunzel. In Household Tales, vol 1. Trans Hunt M. London: George Bell, 1882, pp 50–54.
Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK. Rapunzel syndrome reviewed and redefined. Dig Surg 2007;24(3):157–161.
Mohanta P, Mukhopadhyay M, Maiti S, Mukhopadhyay B. Trichobezoar in children—an uncommon problem. J Indian Assoc Pediatr Surg 2004;9:30–32.
Bouwer C, Stein DJ. Trichobezoars in trichotillomania: a case report and literature overview. Psychosom Med 1998;60:658–660.
Gockel I, Gaedertz C, Hain HJ, Winckelmann U, Albani MI, Lorenz D. The Rapunzel syndrome: rare manifestation of a trichobezoar in the upper gastrointestinal tract. Chirurg 2003;74:753–756.
Mathai J, Chacko J, Kumar TS, Scott JX, Agarwal I, Varkki S. Rapunzel syndrome: A diagnosis overlooked. Acta Paediatr 2007;96:135–138.
Singla SL, Rattan KN, Kaushik N, Pandit SK. Rapunzel syndrome—a case report. Am J Gastroenterol 1999;94(7):1970–1971.
Hirugade ST, Talpallikar MC, Deshpande AV, Gavali JS, Borwankar SS. Rapunzel syndrome with a long tail. Indian J Pediatr 2001;68(9):895–896.
Deevaguntla CR, Prabhakar B, Prasad GR. Rapunzel syndrome—a case report. J Indian Assoc Pediatr Surg 2004;9:33–34.
Curioso V, Rivera V, Curioso A. Rapunzel syndrome: case report and literature review. Rev Gastroenterol Peru 2002;22(2):168–172.
West WM, Duncan ND. CT appearances of the Rapunzel syndrome: An unusual form of bezoar and gastrointestinal obstruction. Pediatr Radiol 1998;28:315–316.
Faria AP, Silva IZ, Santos A, Avilla SGA, Silveria AE. The Rapunzel syndrome—a case report: Trichobezoar as a cause of intestinal perforation. J Pediatr 2000;76:83–86.
Benes T, Chmel J, Jodl J, Stuka C, Nevoral J. Treatment of a gastric bezoar by extracorporeal shock wave lithotripsy. Endoscopy 1991;23:346–348.
Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998;33:663–665.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Western, C., Bokhari, S. & Gould, S. Rapunzel Syndrome: A Case Report and Review. J Gastrointest Surg 12, 1612–1614 (2008). https://doi.org/10.1007/s11605-007-0408-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11605-007-0408-4