Trichobezoar masquerading as massive splenomegaly: Rapunzel's syndrome revisited

Acute Case of Trichobezoar Diagnosed From Computed Tomography and 3D Images: Rapunzel Syndrome Re-examined

“…One of the most common chief complaints in the pediatric population is abdominal pain [ 13 ]. An exceptionally rare etiology of abdominal pain is trichobezoars with an incidence rate of about less than 1% [ 11 ]. Most commonly, trichobezoars present in young female patients with coexisting psychiatric disorders [ 6 ].…”

“…Trichophagia, i.e., the swallowing of one’s hair is seen in all of these patients while trichotillomania, i.e., the urge to pull out one’s own hair is also seen in many patients with this disorder [ 9 , 10 ]. Trichobezoars may present with a vast array of symptoms such as abdominal pain, anorexia, obstruction, and peritonitis [ 11 , 12 ]. Given its unspecific symptoms, trichobezoars may go undiagnosed for years [ 9 ].…”

When the Gut Tells a Story: Bezoars in a Neglected Autistic Child

“…A comprehensive evaluation, including multiple lab tests and a computed tomography imaging of the abdomen and pelvis (CTAP) scan, ultimately identified fecal impaction and the presence of various rectal bezoars. Interestingly, trichobezoars, which our patient had in the form of a tuft of hair, among other items, are an exceptionally rare cause of abdominal pain, accounting for less than 1% of pediatric cases [ 9 ].…”

Huge gastric trichobezoar caused by involuntary nocturnal trichophagia and trichotillomania in a female adolescent

“…The relevance of this entity is that it affects the process of nutrition and digestion, and depending on the size and distension of the digestive tract structures, it can cause perforation, infections (mainly mycosis and parasitosis), cholangitis and obstructive jaundice, intussusception and pancreatitis [5] , [6] . Therefore, it is a pathological entity that can seriously compromise the integrity, quality of life, functional capacity and life of the affected person [7] , [8] .…”