South Med J. 2009 Apr;102(4):416-8.

Rapunzel syndrome-a rare cause of multiple jejunal intussusception.

Source

Department of Pediatric Gastroenterology and Surgery, Children's Medical Center, Wright State University School of Medicine, Dayton, OH 45428, USA. rekibria@gmail.com

Abstract

Trichobezoars are usually without symptoms until they reach a large size. The "Rapunzel" syndrome is a trichobezoar with a long tail extending from the stomach to small bowel. We report the case of a 6-year-old girl with a history of trichotillomania and hair ingestion for three years, who presented with multiple jejunojejunal intussusceptions due to a trichobezoar with a long, 90-cm tail into the small bowel. To our knowledge, this is the first report of trichobezoars as a cause of jejunal intussusceptions, which should be suspected in the appropriate clinical circumstances.

PMID:: 19279516; [PubMed - indexed for MEDLINE]

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Review The Rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report. [J Pediatr Surg. 1999]
Review The Rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report.
Dalshaug GB, Wainer S, Hollaar GL. J Pediatr Surg. 1999 Mar; 34(3):479-80.
Review The Rapunzel syndrome. Report of a case and review of the literature. [West Indian Med J. 1994]
Review The Rapunzel syndrome. Report of a case and review of the literature.
Duncan ND, Aitken R, Venugopal S, West W, Carpenter R. West Indian Med J. 1994 Jun; 43(2):63-5.
[Trichobezoar-Rapunzel syndrome--case report]. [Rozhl Chir. 2004]
[Trichobezoar-Rapunzel syndrome--case report].
Rousková B, Kalousová J, Vyhnánek M, Szitányi P. Rozhl Chir. 2004 Sep; 83(9):460-2.
Trichobezoars as a cause of gastrointestinal obstructions: the Rapunzel syndrome. [Acta Gastroenterol Belg. 1996]
Trichobezoars as a cause of gastrointestinal obstructions: the Rapunzel syndrome.
Seker B, Dilek ON, Karaayvaz M. Acta Gastroenterol Belg. 1996 Apr-Jun; 59(2):166-7.
[Rapunzel syndrome, an rare form of intestinal trichobezoars]. [Klin Padiatr. 1999]
[Rapunzel syndrome, an rare form of intestinal trichobezoars].
Kaspar A, Deeg KH, Schmidt K, Meister R. Klin Padiatr. 1999 Sep-Oct; 211(5):420-2.

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