Abstract
Rapunzel syndrome is a rare form of tricobezoar with a tail extending from the stomach into the small bowel; surgical removal is generally required. About 60 cases have been reported and described in the literature since 1968. We present the case of an 8-year-old girl who, during the course of a genetic consultation, was initially assigned with a clinical suspicion of ectodermal dysplasia. Surgical intervention, which resulted in the extraction of a tricobezoar of enormous size and extension, led us to the diagnosis of Rapunzel syndrome. The possibility of a tricobezoar should be considered in all cases of adolescent patients who present signs of intestinal occlusion or sub-occlusion, suffer from psychiatric disorders, and have a history of trichotillomania. Endoscopic methodology, medical imaging and clinical diagnostics are fundamental for a differential diagnosis. Psychiatric follow-up is advised to prevent recurrence.
Highlights
Nails, and decidual dentition, except for the medial upper incisors
Rapunzel syndrome is a rare form of trily cobezoar with a tail extending from the stomach into the small bowel; surgical n removal is generally required
We present the e case of an 8-year-old girl who, during the s course of a genetic consultation, was initialu ly assigned with a clinical suspicion of ectol dermal dysplasia
Summary
Nails, and decidual dentition, except for the medial upper incisors. The child had always been on the lower end (10th centile) of the growth curve, both underweight, as well as in height. About 60 o cases have been reported and described in the literature since 1968. We present the e case of an 8-year-old girl who, during the s course of a genetic consultation, was initialu ly assigned with a clinical suspicion of ectol dermal dysplasia.
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