Rapunzel syndrome, endoscopy solves the enigma: a case report

Abstract Trichobezoars retain undigested material in the stomach, usually hair or hair-like fibers. Trichobezoars can cause gastrointestinal obstruction and Rapunzel syndrome, a perforation linked to pressure necrosis when they spread into the small intestine. This case study features a 16-year-old...

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Main Authors: Ahmed Ramadan, Nancy A. Ahmed, Mohammed. N. Abdelaziz, El-Sayed Abou El-Magd
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-025-00400-5
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author Ahmed Ramadan
Nancy A. Ahmed
Mohammed. N. Abdelaziz
El-Sayed Abou El-Magd
author_facet Ahmed Ramadan
Nancy A. Ahmed
Mohammed. N. Abdelaziz
El-Sayed Abou El-Magd
author_sort Ahmed Ramadan
collection DOAJ
description Abstract Trichobezoars retain undigested material in the stomach, usually hair or hair-like fibers. Trichobezoars can cause gastrointestinal obstruction and Rapunzel syndrome, a perforation linked to pressure necrosis when they spread into the small intestine. This case study features a 16-year-old female patient complaining of epigastric pain. Computed tomography and abdominal ultrasonography yielded inconclusive results. A sizable clump of hair that stretched from the gastric body to the duodenum was seen on the upper endoscopy. The patient was first referred to a surgeon to have the hair removed, and then to the psychiatry department.
format Article
id doaj-art-abe6120b9c43412480f8ab4151c85607
institution Kabale University
issn 2090-9098
language English
publishDate 2025-01-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Internal Medicine
spelling doaj-art-abe6120b9c43412480f8ab4151c856072025-01-12T12:40:29ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-01-013711310.1186/s43162-025-00400-5Rapunzel syndrome, endoscopy solves the enigma: a case reportAhmed Ramadan0Nancy A. Ahmed1Mohammed. N. Abdelaziz2El-Sayed Abou El-Magd3Faculty of Medicine, Mansoura UniversityFaculty of Medicine, Mansoura UniversityFaculty of Medicine, Mansoura UniversityFaculty of Medicine, Mansoura UniversityAbstract Trichobezoars retain undigested material in the stomach, usually hair or hair-like fibers. Trichobezoars can cause gastrointestinal obstruction and Rapunzel syndrome, a perforation linked to pressure necrosis when they spread into the small intestine. This case study features a 16-year-old female patient complaining of epigastric pain. Computed tomography and abdominal ultrasonography yielded inconclusive results. A sizable clump of hair that stretched from the gastric body to the duodenum was seen on the upper endoscopy. The patient was first referred to a surgeon to have the hair removed, and then to the psychiatry department.https://doi.org/10.1186/s43162-025-00400-5Rapunzel syndromeTrichobezoarSurgical laparotomyTrichotillomaniaGastric Bezoar
spellingShingle Ahmed Ramadan
Nancy A. Ahmed
Mohammed. N. Abdelaziz
El-Sayed Abou El-Magd
Rapunzel syndrome, endoscopy solves the enigma: a case report
The Egyptian Journal of Internal Medicine
Rapunzel syndrome
Trichobezoar
Surgical laparotomy
Trichotillomania
Gastric Bezoar
title Rapunzel syndrome, endoscopy solves the enigma: a case report
title_full Rapunzel syndrome, endoscopy solves the enigma: a case report
title_fullStr Rapunzel syndrome, endoscopy solves the enigma: a case report
title_full_unstemmed Rapunzel syndrome, endoscopy solves the enigma: a case report
title_short Rapunzel syndrome, endoscopy solves the enigma: a case report
title_sort rapunzel syndrome endoscopy solves the enigma a case report
topic Rapunzel syndrome
Trichobezoar
Surgical laparotomy
Trichotillomania
Gastric Bezoar
url https://doi.org/10.1186/s43162-025-00400-5
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AT nancyaahmed rapunzelsyndromeendoscopysolvestheenigmaacasereport
AT mohammednabdelaziz rapunzelsyndromeendoscopysolvestheenigmaacasereport
AT elsayedabouelmagd rapunzelsyndromeendoscopysolvestheenigmaacasereport