Trichobezoar and Rapunzel syndrome should be considered as a differential diagnosis in young females who present with nonspecific symptoms, such as epigastric pain, fatigue and weight loss, and an epigastric mass.
The recovered foreign bodies from these ten cattle were potato,
trichobezoars two each and beetroot, carrot, food stuff (hay), part of the coconut one each (Table-1) (Fig.
Trichobezoar is combination of two words "Trish" and "Bezoar".
Over a period of time, continuous ingestion of hair leads to the impaction of hair together with mucus and food, causing the formation of a
trichobezoar. In most cases, the
trichobezoar is confined within the stomach.
Thus,
trichobezoar should be considered as differential diagnosis of abdominal pain in young psychiatric female patients.
At conventional radiography, the characteristic appearance of a gastric
trichobezoar is mottled soft-tissue opacity in the shape of a distended stomach.
Gastric
trichobezoar with a long intestinal tail is known as Rapunzel syndrome, after the Grimm brothers' story in which the prince climbed into Rapunzel's tower using the tresses of her long hair.
Rosenfeld, "CT diagnosis of a gastric
trichobezoar," Computerized Medical Imaging and Graphics, vol.
Th is can lead to a
trichobezoar or hairball forming in the intestines.
The Rapunzel syndrome is a very rare condition where
trichobezoar has extended up to the small bowel.