ArticleCureus2026
Rapunzel Syndrome in a Pediatric Female Patient: A Case Report of Trichobezoar Causing Intestinal Obstruction.
Article in Cureus, 2026. 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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Abstract
Rapunzel syndrome is a very rare type of trichobezoar in which a hair mass extends to the stomach and small intestine forming a body and tail. It usually affects young females with a psychiatric background. Symptoms are usually nonspecific and often delay the diagnosis. We present in this report a case of a six-year-old previously healthy girl who presented with two months of intermittent abdominal pain, vomiting, and constipation. Initial laboratory tests and two times abdominal ultrasounds were unremarkable. Abdominal X-ray showed moderate dilatation of the bowel. Further physical examination revealed patchy scalp alopecia, raising suspicion for hair ingestion. Upper endoscopy showed a large trichobezoar in the stomach and duodenum, but endoscopic removal failed. The patient underwent open laparotomy, and an 11 × 4 cm bezoar with a tail extending into the duodenum was removed. This case highlights the value of recognizing Rapunzel syndrome in children with vague gastrointestinal symptoms, even without a prior psychiatric history. Early recognition and management, including surgical and non-surgical interventions, are important to prevent complications and recurrence. The study aims to describe a rare presentation of Rapunzel syndrome in order to increase awareness among physicians and emphasize the importance of early recognition and treatment to prevent serious complications.
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