Rapunzel Syndrome Masks Weight Loss
Researchers identify an extensive trichobezoar in a child with progressive weight loss and feeding changes.
By
Kathryn Wighton
February 23, 2026
Clinical Scorecard: Rapunzel Syndrome Masks Weight Loss
At a Glance
Category Detail
Condition Rapunzel Syndrome Key Mechanisms Trichobezoar formation due to trichotillomania and trichophagia Target Population Pediatric patients, particularly adolescents with psychiatric disorders Care Setting Pediatric emergency and surgical care
Key Highlights
Characterized by a large trichobezoar extending from the stomach into the small intestine Associated with significant weight loss and abdominal pain May lead to obstruction or perforation if untreated Diagnosis can be delayed due to underlying psychiatric conditions Postoperative management includes dietary supervision and behavioral therapy Guideline-Based Recommendations
Diagnosis
Consider Rapunzel syndrome in pediatric patients with unexplained weight loss and abdominal symptoms Management
Surgical removal of the trichobezoar is necessary Gradual reintroduction of oral feeding under dietetic supervision Monitoring & Follow-up
Follow-up for weight improvement and resolution of abdominal symptoms Risks
Potential for obstruction or perforation if not treated Patient & Prescribing Data
10-year-old girl with ADHD and sensory aversion to food textures
Behavioral therapy for trichotillomania and trichophagia is essential
Clinical Best Practices
Early recognition of symptoms in pediatric patients Multidisciplinary approach involving surgery, dietetics, and psychology Related Resources & Content
