| CASE REPORT |
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| Year : 2014 | Volume
: 9
| Issue : 2 | Page : 87-89 |
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Trichobezoar: A less suspected diagnosis
DS Nirhale, VS Athavale, M Bhatia, S Kurhade
Department of General Surgery, Padamashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India
Correspondence Address:
M Bhatia
1, Bank Colony, Opposite Old Sessions Courts, Ambala 134 003, Haryana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/9783-1230.139171
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Rapunzel syndrome is a rare trichobezoar, involving strands of swallowed hair extending as a tail through the duodenum, beyond the stomach. Trichobezoar usually occur in patients with history of trichotillomania, characterized by compulsive behavioral disorder of pulling own hairs, combined with trichophagia that consists of ingesting that hairs. It typically occurs in the stomach and rarely affects the small intestine. Trichobezoars are more common in adolescent females. Common presentation is a gastrointestinal tract obstruction with nausea, vomiting, gut perforation, hypo chromic anemia, vitamin B12 deficiency, weight loss, an abdominal mass, or other serious problems. Trichobezoar with Rapunzel syndrome is an uncommon diagnosis in children with <40 cases reported. It is predominantly found in emotionally disturbed or mentally retarded youngsters. Trichobezoar is a rare condition that may pose a diagnostic challenge. Patients with this condition often have an underlying psychiatric illness, and history may not be easily forthcoming. The condition should be entertained especially in young females. Delay in diagnosis may lead to futile complications. We present the case of a 14-year-old girl who presented with abdominal pain, vomiting and a nontender abdominal mass. |
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