An Unusual Case of Anasarca-Rapunzel Syndrome

A 12-year-old girl with a history of sickle-thalassemia presented with symptoms of Rapunzel syndrome, including epigastric pain, generalized swelling (anasarca), severe anemia, and patchy hair loss. The case was complicated by her psychosocial background, including parental separation and harsh paternal behavior. Examination revealed a gastric trichobezoar, confirmed by CT scan, and she required multiple transfusions for anemia and hypoproteinemia. After surgical removal of the trichobezoar and psychiatric support, the patient showed significant improvement in her nutritional status and overall well-being. This case underscores the importance of a multidisciplinary approach in managing complex presentations of Rapunzel syndrome in pediatric patients.