Rapunzel syndrome: A rare cause of intestinal obstruction. A case report
Guillén-Montiel JM, Carpinteyro-Espinoza RA, Monroy-Romero JB, Flores-Solares E. Am J Med Surg. November 2021; 6(2). 4-7.
Rapunzel syndrome is a rare form of gastric trichobezoar with post-pyloric extension associated with intestinal obstruction. It is a suspected diagnosis in female and young patients with a palpable epigastric tumor associated with intestinal obstruction.
We report a case of a 16-year-old female patient with an 8-year history of trichotillomania and trichophagia, who presented with intestinal occlusion and tomographic confirmation of Rapunzel's syndrome with gastric bezoar fragmentation and migration of the fragment to the distal ileum; managed with gastrotomy and enterotomy achieving satisfactory extraction of both trichobezoars.
KEY WORDS: Rapunzel syndrome, trichobezoar, intestinal obstruction.