{Reference Type}: Case Reports
{Title}: Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature.
{Author}: Nour I;Abd Alatef M;Megahed A;Yahia S;Wahba Y;Shabaan AE;
{Journal}: Paediatr Int Child Health
{Volume}: 39
{Issue}: 1
{Year}: 02 2019
{Factor}: 2.725
{DOI}: 10.1080/20469047.2017.1389809
{Abstract}: Rapunzel syndrome is a rare form of gastric trichobezoar. A 4-year-old girl presented with generalised oedema and an epigastric mass. Her family was of a relatively low socio-economic background. There was microcytic hypochromic anaemia, hypoalbuminaemia and an elevated α1-antitrypsin clearance. Abdominal ultrasound and non-contrast computed tomography demonstrated a heterogeneous mass related to the stomach. Upper gastro-intestinal tract endoscopy failed to remove it. Surgical laparotomy was undertaken through a single anterior gastrotomy incision and a large mass was extracted which was a cast of the duodenum and stomach and had a tail of approximately 60 cm in length which extended to the jejunum. Low socio-economic status, child neglect and pica are risk factors for trichobezoars. Surgical laparotomy is the optimal treatment of large bezoars.