Rapunzel syndrome in a pediatric patient: a case report.


Journal Article (Review)

This case report describes a 2.5-year-old girl who was hospitalized with complaints of abdominal pain and vomiting for 2 days. Abdominal ultrasound revealed small bowel-to-small bowel intussusception. Diagnostic laparoscopic-assisted exploration of the abdomen revealed 4 separate intestinal intussusceptions along with multiple dark intraluminal masses within the small intestine. Laparoscopic reduction of the intussusceptions was unsuccessful. Laparotomy allowed palpation of the entire small intestine with extraction of the masses, which were found to be human hair (trichobezoars). The intussusceptions were reduced, and the multiple masses were removed through a single enterotomy. The child recovered following surgery and was discharged home to her family. The surgeon counseled the parents before discharging the patient and recommended follow-up counseling for their child. The parents were given information about trichophagia and strategies to reduce the behavior in their child. A comprehensive literature review revealed this to be the youngest reported case of intussusception and Rapunzel syndrome due to trichobezoars.

Full Text

Duke Authors

Cited Authors

  • Middleton, E; Macksey, LF; Phillips, JD

Published Date

  • April 2012

Published In

Volume / Issue

  • 80 / 2

Start / End Page

  • 115 - 119

PubMed ID

  • 22586880

Pubmed Central ID

  • 22586880

International Standard Serial Number (ISSN)

  • 0094-6354


  • eng

Conference Location

  • United States