Rapunzel Syndrome: Dual Case Report and Literature Review

Authors

  • Christelle Destinval Doctor, Paediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France
  • Olivier Larmure Doctor, Paediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France
  • Jean-Louis Lemelle Professor, Paediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France. https://orcid.org/0000-0001-6438-2448

DOI:

https://doi.org/10.60086/jnps515

Keywords:

Pediatric Emergency & Acute Care, Pediatric Gastroenterology, Pediatric Surgery, Psychiatric Disorder, Trichotillomania, Trichophagia

Abstract

A 10-year-old and 15-year-old females were referred to the paediatric emergency department. The former complained about acute abdominal pain and faecaloid vomiting, whereas the latter had chronic epigastric pain and iron deficiency anemia. Both patients had a history of trichotillomania and trichophagia. Abdominal CT scan demonstrated a limited oval lesion, molding the stomach. Both girls underwent an exploratory laparotomy with gastrotomy. A gigantic trichobezoar, molding the stomach and expanding to the small bowel was extracted, confirming the diagnosis of Rapunzel syndrome. They were discharged home after 16 and 13 days, respectively. No recurrence occurred.

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Published

2024-03-17

Issue

Vol. 43 No. 3 (2023)

Section

Case Reports