
Every tangle has a story - Rapunzel Syndrome: A case report
Author(s) -
Yousuf Aziz Khan,
Zainab Zaib,
Fizza Tufail,
Muhammad Kashif Rafiq,
Khyal Muhammad
Publication year - 2022
Publication title -
journal of pediatric and adolescent surgery
Language(s) - English
Resource type - Journals
eISSN - 2708-6496
pISSN - 2708-6488
DOI - 10.46831/jpas.v2i1.113
Subject(s) - medicine , girl , vomiting , presentation (obstetrics) , differential diagnosis , abdominal pain , surgery , general surgery , pathology , psychology , developmental psychology
Background: Rapunzel syndrome is the rarest form of trichobezoar; a condition in which trichobezoar extends beyond the stomach into the small intestine. It is common among children and young girls with a history of psychiatric illnesses.Case Presentation: A 10-year-old girl without any history of psychiatric illness, presented with abdominal pain and non-bilious vomiting for 6 months. Clinically she had a non-tender upper abdominal mass which, later at workup, was found to be a trichobezoar. She was surgically managed successfully.Conclusion: Though uncommon, Rapunzel syndrome should be kept in the differential diagnoses especially in a young female patient with features of an upper GI obstruction and a non-tender, palpable epigastric mass.