Pediatr Emerg Med J.  2025 Jan;12(1):46-49. 10.22470/pemj.2024.01102.

Rapunzel syndrome, a rare hairy tale: a case report

• Macalintal N
• Taube S
• Jones V
• Muntean C

• KMID: 2563132
• DOI: http://doi.org/10.22470/pemj.2024.01102

Abstract

Rapunzel syndrome is a rare condition that typically occurs in young females with trichotillomania or trichophagia. The name “Rapunzel” was given due to the presence of trichobezoars extending from the stomach down to various parts of the gastrointestinal tract. In this case, we discuss a 6-year-old female patient with a large trichobezoar that was further complicated by the occurrence of gastric perforation. This case emphasizes not only the presentation of a rare pathology with a rare complication but also the importance of meticulous history taking and physical examination for the approach to an acute abdominal emergency in the pediatric emergency setting.

Keyword

Abdomen, Acute; Abdominal Pain; Bezoars; Intestinal Perforation; Trichotillomania

Figure

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  Fig. 1. Plain supine radiograph showing free air (asterisks) under the diaphragm.

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  Fig. 2. Axial computed tomography scan showing a large amount of material in the stomach (asterisks) with a significant amount of free air detected in the peritoneum (arrow).

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  Fig. 3. Gastro-duodeno-jejunal trichobezoar retrieved intraoperatively.

Reference

References

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