The Rapunzel Syndrome: Is It an Asian Problem? (Case Report and Review of Literature)

    July 2009 in “ European Journal of Gastroenterology & Hepatology ”
    Puja Mehta, Rajinder P Bhutiani
    TLDR Rapunzel syndrome is more common in Asian countries and requires early diagnosis, especially in Asian girls.
    The document discussed the Rapunzel syndrome, a rare form of gastric trichobezoar that extends into the small bowel and can lead to complications such as obstruction, perforation, or peritonitis. It noted that most cases were reported in Asian countries. The report described the second case in England involving a 14-year-old Asian girl who presented with small bowel obstruction. Her condition was previously overlooked when she showed symptoms like slim stature, iron-deficiency anemia, and frontal alopecia. The report emphasized the importance of maintaining a high index of suspicion, especially in Asian girls, to ensure timely diagnosis and intervention.
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