ArticleOpen medicine (Warsaw, Poland)2020
Rapunzel syndrome with cholangitis and pancreatitis - A rare case report.
Article in Open medicine (Warsaw, Poland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Early detection strategies to prevent Rapunzel syndrome in low-resource settings.International journal of surgery case reports · 2026Article
- From trichophagia to trichobezoar: Rapunzel syndrome in a child - A case report and literature review.International journal of surgery case reports · 2025Article
- Rapunzel Syndrome: Clinical, Diagnostic and Forensic Aspects in Related Deaths-A Review of the Literature.Journal of clinical medicine · 2024Review
- Rapunzel syndrome in children: a retrospective review of ten cases combined with literature review in a tertiary referral center.Pediatric surgery international · 2024Article
- Trichobezoar with acute necrotizing pancreatitis: a case description.Quantitative imaging in medicine and surgery · 2023Article
- Rapunzel syndrome complicated with pancreatitis, intussusception and intestinal perforation.BMJ case reports · 2022Article
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Authors and funding
4 authors at 3 institutions in 1 country.
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Abstract
Rapunzel syndrome, defined by the presence of a trichobezoar extending from the stomach to the small intestine, is a rare cause of intestinal obstruction. It usually presents with vague symptoms; however, it can also present with complications such as perforation, peritonitis and obstructive jaundice. We report a rare case of a 37-year-old woman with Rapunzel syndrome complicated by acute cholangitis and pancreatitis and analyse the diagnosis and management of this complicated pathology. Although she reported a history of trichotillomania and trichophagia, she had been asymptomatic for ten years. We review the steps of diagnosis, highlighting the importance of a thorough clinical history and detailed examination, with supporting evidence from the contrast-enhanced computed tomography (CECT) scan. She was successfully managed with gastrotomy and trichobezoar removal. She had an uneventful postoperative recovery and was discharged after psychiatric counselling. To our knowledge, this is the first case of Rapunzel syndrome in a young female presenting with both cholangitis and pancreatitis.
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