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Indian J Psychol Med. 2011 Jan;33(1):77-9. doi: 10.4103/0253-7176.85401.

A Giant Trichobezoar Causing Rapunzel Syndrome in a 12-year-old Female.

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Department of General Surgery, Sher i Kashmir Institute of Medical Sciences, Soura, Jammu and Kashmir, India.


Bezoar is a tightly packed collection of undigested material that is unable to exit the stomach. Most bezoars are of indigestible organic matter such as hair-trichobezoars; or vegetable and fruit-phytobezoars; or a combination of both. Trichobezoars commonly occur in patients with psychiatric disturbances who chew and swallow their own hair. In very rare cases, the Rapunzel syndrome hair extends through the pylorus into the small bowel causing symptom and sign of partial or complete gastric outlet obstruction. A case report of trichobezoar in the stomach causing Rapunzel syndrome in a 12-year-old female is reported.


Rapunzel; female; giant; syndrome; trichobezoar

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