Unusual Presentation of Rapunzel Syndrome in an 8-Year-Old Girl

An 8-year-old girl was diagnosed with Rapunzel syndrome, characterized by a large trichobezoar extending from the stomach into the duodenum and jejunum, presenting with a palpable abdominal mass and anemia. Imaging confirmed the presence of the bezoar without mechanical obstruction. The patient had a history of significant hair loss and habits of trichotillomania and trichophagia. The study concluded that Rapunzel syndrome could present with non-specific symptoms, and significant hair loss along with psychiatric disorders should prompt further investigation. Long-term follow-up and psychiatric care were recommended to prevent recurrence.