22 citations
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May 2010 in “Journal of Pediatric Gastroenterology and Nutrition” This case report documents a rare instance of Rapunzel syndrome causing biliary obstruction in a 3-year-old girl, highlighting the importance of considering trichobezoar in cholestasis diagnosis.
October 2025 in “The American Journal of Gastroenterology” In this case report, the researchers diagnosed a large trichobezoar in a 7-year-old girl with gastrointestinal symptoms and weight loss through endoscopy after inconclusive imaging, highlighting endoscopy's importance for accurate diagnosis and the need for surgical and behavioral intervention to prevent recurrence.
14 citations
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July 2009 in “European Journal of Gastroenterology & Hepatology” This report describes the second documented case in England of a 14-year-old Asian girl with Rapunzel syndrome, underlining the importance of suspicion to prevent delayed diagnosis in similar patients.
July 2022 in “Research Square (Research Square)” This case report highlights a small bowel obstruction from hair ingestion in an African American woman, emphasizing the need for cultural awareness of Black hairstyles in trichotillomania and trichophagia.
February 2026 in “Journal of Paediatrics and Child Health” This source highlights that gastric trichobezoar, although rare in children under 3, should be suspected in cases of chronic vomiting and gastric masses, with surgical removal as definitive treatment; multidisciplinary intervention is crucial to prevent serious complications and recurrence.