---
abstract: 'Background: Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Case Presentation: We present a 13 years old girl with Rapunzel syndrome, where the trichobezoar was not suspected at all especially with negative history of trichophagia. In majority of the cases the diagnosis was made very late in the history of the disease, at a stage where surgery is the only cure for this syndrome. Conclusion: A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symptom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorders'
altloc:
  - http://www.ojhas.org/issue45/2013-1-4.html
chapter: ~
commentary: ~
commref: ~
confdates: ~
conference: ~
confloc: ~
contact_email: ~
creators_id:
  - drkrishnanand@yahoo.in
  - ~
  - ~
creators_name:
  - family: Krishnanand
    given: D
    honourific: ''
    lineage: ''
  - family: Chanchalani
    given: R
    honourific: ''
    lineage: ''
  - family: Dhruv
    given: K
    honourific: ''
    lineage: ''
date: 2013-04-15
date_type: published
datestamp: 2014-02-25 12:40:38
department: ~
dir: disk0/00/00/91/38
edit_lock_since: ~
edit_lock_until: 0
edit_lock_user: ~
editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr
    lineage: ''
eprint_status: archive
eprintid: 9138
fileinfo: /style/images/fileicons/application_pdf.png;/9138/1/2013-1-4.pdf
full_text_status: public
importid: ~
institution: ~
isbn: ~
ispublished: pub
issn: ~
item_issues_comment: []
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item_issues_id: []
item_issues_reported_by: []
item_issues_resolved_by: []
item_issues_status: []
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keywords: Rapunzel syndrome; Trichobezoar
lastmod: 2014-02-25 12:40:38
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 1(4)
pagerange: ~
pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Kakkilaya BS
refereed: TRUE
referencetext: "1.\tVaughan ED, Sawyers JL, Scott HW. The Rapunzel syndrome: an unusual complication of intestinal bezoar. Surgery. 1968;63(2):339–343.\r\n2.\tAndrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. American Journal of Gastroenterology. 1988;83(5):476–478..\r\n3.\tNaik S, Gupta V, Naik S, et al. Rapunzel syndrome reviewed and redefined. Digestive Surgery. 2007;24(3):157–161.\r\n4.\tPérez E, Sántana JR, García G, et al. Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel) Cirugía Española. 2005;78(4):268–270.\r\n5.\tKoç O, Yildiz FD, Narci A, Sen TA. An unusual cause of gastric perforation in childhood: trichobezoar (Rapunzel syndrome). A case report. European Journal of Pediatrics. 2009;168(4):495–497.\r\n6.\tMohite PN, Gohil AB, Wala HB, Vaza MA. Rapunzel syndrome complicated with gastric perforation diagnosed on operation table. Journal of Gastrointestinal Surgery. 2008;12(12):2240–2242.\r\n7.\tNaik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK. Rapunzel syndrome reviewed and redefined. Dig Surg 2007;24:157–161. doi: 10.1159/000107716\r\n8.\tFrey AS, McKee M, King RA, Martin A. Hair Apparent: Rapunzel Syndrome. Am J Psychiatry. 2005;162:242–248. doi: 10.1176/appi.ajp.162.2.242.\r\n9.\tMemon SA, Mandhan P, Qureshi JN, Shairani AJ. Recurrent Rapunzel syndrome – a case report. Med Sci Monit. 2003;9:CS92–4."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 9
series: ~
source: ~
status_changed: 2014-02-25 12:40:38
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: 'Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl'
type: journale
userid: 4338
volume: 12
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