The rapunzel syndrome (trichobezoar) causing gastric perforation in a child: A case report

  title={The rapunzel syndrome (trichobezoar) causing gastric perforation in a child: A case report},
  author={Nuran Pul and Mehmet Pul},
  journal={European Journal of Pediatrics},
  • N. Pul, M. Pul
  • Published 2005
  • Medicine
  • European Journal of Pediatrics
The Rapunzel syndrome (RS), is a rare form of gastric trichobezoar extending throughout the bowel. We report on a patient with RS causing gastric perforation and discuss the aetiology, pathogenesis, diagnosis and treatment of this unusual syndrome. RS is found characteristically in girls with varying gastro-intestinal symptoms. The recommended treatment for large or complicated trichobezoars is surgery. Psychiatric follow up is essential to diminish the frequency of reccurrence. 
Rapunzel syndrome with a fatal outcome in a neglected child.
A case of a 5-year-old girl admitted at the emergency department in cardiorespiratory arrest whose autopsy disclosed an ileal perforation that is caused by a long bezoar extending from the stomach to the small bowel is reported. Expand
Recurrent Rapunzel syndrome - a case report.
Recurrence of Rapunzel Syndrome is very uncommon, and does occur only if the patients are left untreated for their underlying problem, therefore, a comprehensive management should always be considered. Expand
The Rapunzel syndrome: is it an Asian problem? (case report and review of literature)
The need for a higher index of suspicion, particularly in Asian girls to avoid missing the diagnosis and early elective intervention is highlighted. Expand
Rapunzel Syndrome Reviewed and Redefined
This work evaluates the various cases reported and discusses the various modes of presentation of this uncommon syndrome, and presents a series of 3 cases, all females, aged 16, 18 and 21 years, and had a trichobezoar in the stomach with a tail extending into the ileum. Expand
Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel)
Urgent laparotomy confirmed the diagnosis of gastric perforation due to a trichobezoar completely moulding the gastric chamber in a teenager with clinical symptoms of epigastric mass and acute abdomen. Expand
An unusual cause of gastric perforation in childhood: trichobezoar (Rapunzel syndrome). A case report
A 14-year-old female patient who experienced nausea, vomiting and severe abdominal pain for 1 month is reported, the reported third case of gastric perforation caused by trichobezoar in a pediatric patient. Expand
Rapunzel syndrome: a rare cause of hypoproteinaemia and review of literature
A case of a middle-aged woman with sudden intractable vomiting and constipation associated with bilateral pedal oedema and significant weight loss and its rare association with hypoproteinaemia is presented. Expand
Trichobezoar with gastric perforation.
A 19 yrs old female who presented to the emergency department with diffuse peritonitis due to gastric perforation and found to have a huge trichobezoar was treated successfully by gastrotomy with complete evacuation of the trichotillomania. Expand
Sand Bezoar: A Very Rare Cause of Intussusception
A rare case of sand bezoar induced intussusception in a 9-year-old school girl with pica (geophagia) is described, along with a review of literature. Expand
Untreated trichotillomania and trichophagia: surgical emergency in a teenage girl.
This report documents the unique case of a 16-year-old girl whose untreated trichotillomania led to a trichobezoar requiring surgical intervention and follow-up psychiatric treatment. Expand


The Rapunzel syndrome: a case report and review of the literature.
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A new case preoperatively diagnosed with none of the complications previously reported is described of the Rapunzel syndrome, a rare form of gastric trichobezoar extending throughout the bowel. Expand
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Physicians must learn to recognize and classify bezoars correctly in order to provide the most appropriate therapy in each instance, and endoscopy provides the most accurate means for identification and classification. Expand
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