ArticleCureus2025
Atypical Rapunzel Syndrome in an Adult Female: Trichobezoar Beyond the Gastric Outlet Leading to Gastrointestinal Perforation and Septic Shock.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Trichobezoars are rare accumulations of ingested hair typically seen in young females with psychiatric disorders such as trichotillomania and trichophagia. Few case reports describe separate trichobezoar masses within the GI tract. We report the case of a 57-year-old female with trichophagia history who presented with abdominal distensions and rebound tenderness consistent with peritonitis. Imaging raised suspicion for bezoars, and emergent laparotomy revealed two separate trichobezoars, one in the gastric antrum and one in the jejunum, as well as two jejunal perforations. This case highlights that trichobezoars can present in an atypical demographic and extend beyond the gastric outlet, potentially resulting in life-threatening complications requiring prompt surgical management.
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