Rapunzel Syndrome Masks Weight Loss

Researchers identify an extensive trichobezoar in a child with progressive weight loss and feeding changes.

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A 10-year-old girl experienced 8 months of weight loss and abdominal pain, leading to a diagnosis of Rapunzel syndrome.
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Magnetic resonance enterography revealed a large trichobezoar extending from the stomach into the proximal duodenum.
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Surgical removal of the trichobezoar was successful, and the patient showed improvement in weight and symptoms postoperatively.
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Rapunzel syndrome is often associated with psychiatric conditions and can lead to serious complications if untreated.
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The case highlights the need to consider Rapunzel syndrome in pediatric patients with unexplained weight loss and abdominal issues.

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