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Rapunzel Syndrome

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Rapunzel Syndrome
A fanciful term for the symptoms of a massive trichobezoar caused by trichotillomania and trichophagia, which occurs mainly in female psychiatric or mentally retarded patients
Imaging Mass lesion, usually gastric with ‘strands’ of hair extending into upper small intestine
Lab Hypochromic microcytic anaemia—hair chelates iron
Management Surgery

Rapunzel syndrome
A fanciful term for the Sx of a massive trichobezoar caused by trichotillomania and trichophagia, seen mainly in mentally retarded or deranged ♀ Clinical Epigastric pain, bloating, N&V Radiology Mass lesion, usually gastric with 'strands' of hair extending into upper small intestine Lab Hypochromic microcytic anemia–hair is an iron chelator Treatment Surgery. See Bezoar.


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It developed from her chewing her hair, a condition known as Rapunzel syndrome.
DIAGNOSIS Rapunzel syndrome: a trichobezoar extending into the ileum DISCUSSION The term Rapunzel syndrome was coined by Vaughan and associates in 1968, for an unusual manifestation of a trichobezoar in which the mass extends from the stomach and duodenum through a large portion of the small intestine.
 
 
 
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