Rapunzel Syndrome Resulting in Multiple Sites of Simultaneous Intussusception
Eric C Morey1, Caitlin Brandle1, Stephen Schaffner1
1Radiology, Augusta University Medical College of Georgia, Augusta, USA.
Cureus
|August 27, 2025
Summary
Rapunzel syndrome, a rare condition involving a gastric trichobezoar, was diagnosed in a child with autism. Early surgical intervention is crucial for managing this severe gastrointestinal complication.
Area of Science:
- Pediatric Gastroenterology
- Surgical Case Report
Background:
- Rapunzel syndrome is a rare form of gastric trichobezoar extending into the small intestine.
- It is most commonly observed in adolescent females with trichotillomania and trichophagia.
Observation:
- A nine-year-old nonverbal autistic girl presented with acute abdominal pain and vomiting.
- Imaging revealed an extensive gastroenteric trichobezoar causing multiple small bowel intussusceptions.
Findings:
- Open laparotomy successfully removed the gastroenteric trichobezoars.
- Abdominal computed tomography is the preferred diagnostic and surgical planning tool.
Implications:
- This case underscores the importance of recognizing extensive bezoar disease in pediatric patients.
- Early diagnosis and surgical management are vital to reduce morbidity associated with Rapunzel syndrome.
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