creators_name: Krishnanand, D creators_name: Chanchalani, R creators_name: Dhruv, K creators_id: drkrishnanand@yahoo.in editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2014-02-25 12:40:38 lastmod: 2014-02-25 12:40:38 metadata_visibility: show title: Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl ispublished: pub subjects: OJHAS full_text_status: public keywords: Rapunzel syndrome; Trichobezoar abstract: Background: Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Case Presentation: We present a 13 years old girl with Rapunzel syndrome, where the trichobezoar was not suspected at all especially with negative history of trichophagia. In majority of the cases the diagnosis was made very late in the history of the disease, at a stage where surgery is the only cure for this syndrome. Conclusion: A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symptom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorders date: 2013-04-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 12 number: 1(4) publisher: Kakkilaya BS refereed: TRUE referencetext: 1. Vaughan ED, Sawyers JL, Scott HW. The Rapunzel syndrome: an unusual complication of intestinal bezoar. Surgery. 1968;63(2):339–343. 2. Andrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. American Journal of Gastroenterology. 1988;83(5):476–478.. 3. Naik S, Gupta V, Naik S, et al. Rapunzel syndrome reviewed and redefined. Digestive Surgery. 2007;24(3):157–161. 4. Pérez E, Sántana JR, García G, et al. Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel) Cirugía Española. 2005;78(4):268–270. 5. Koç O, Yildiz FD, Narci A, Sen TA. An unusual cause of gastric perforation in childhood: trichobezoar (Rapunzel syndrome). A case report. European Journal of Pediatrics. 2009;168(4):495–497. 6. Mohite PN, Gohil AB, Wala HB, Vaza MA. Rapunzel syndrome complicated with gastric perforation diagnosed on operation table. Journal of Gastrointestinal Surgery. 2008;12(12):2240–2242. 7. Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK. Rapunzel syndrome reviewed and redefined. Dig Surg 2007;24:157–161. doi: 10.1159/000107716 8. Frey AS, McKee M, King RA, Martin A. Hair Apparent: Rapunzel Syndrome. Am J Psychiatry. 2005;162:242–248. doi: 10.1176/appi.ajp.162.2.242. 9. Memon SA, Mandhan P, Qureshi JN, Shairani AJ. Recurrent Rapunzel syndrome – a case report. Med Sci Monit. 2003;9:CS92–4. citation: Krishnanand, D and Chanchalani, R and Dhruv, K (2013) Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/9138/1/2013-1-4.pdf