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1: Eur J Pediatr. 1996 Jan;155(1):18-9.Links

The Rapunzel syndrome (trichobezoar) causing gastric perforation in a child: a case report.

Pul N, Pul M.

Cocuk Sağliği ve Hastaliklari Uzmani, Edirne, Turkey.

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 recurrence. CONCLUSION: Symptoms of trichobezoars are nonspecific and may mimic those of other pathological gastro-intestinal conditions. Early diagnosis and treatment of this condition is of prime importance and may avoid later fatal complications.

PMID: 8750804 [PubMed - indexed for MEDLINE]