An Abdominal mass in a child with PICA; Rapunzel syndrome. A case report

a case report

Authors

  • Hooria Rehman doctor
  • Hassan Suleman lahore general hospital
  • Mohammad Shahid
  • Rizwan Gohar lahore general hospital
  • Wajeeh ur Rehman the children's hospital and university of child health sciences
  • Sidra Rasheed lahore general hospital

Keywords:

KEY WORDS: Bezoars, Trichobezoar, Trichophagia, Trichotillomania

Abstract

ABSTRACT:

Rapunzel syndrome is an unusual and rare presentation of gastric trichobezoar that can extends from stomach to small gut or beyond. This case report is about a 6-year-old girl who presented with complaint of severe abdominal pain and vomiting in OPD of pediatric gastroenterology, General hospital, Lahore. There was a palpable mass in epigastric region along with pallor. A trichobezoar was diagnosed on esophagogastroduodenoscopy that was extending to the colon and was removed surgically. After treatment and cognitive behavioral therapy symptoms have resolved completely.

Trichobezoar is a rare entity but must be kept as a differential diagnosis in a patient with abdominal pain and palpable mass.

Author Biographies

Hassan Suleman , lahore general hospital

associate proffessor paediatric gastroenterology

paediatric departmant, lahore general hospital, lahore, pakistan

Mohammad Shahid

professor Mohammad Shahid

head of department, paediartric department, lahore general hospital, lahore, pakistan

Rizwan Gohar, lahore general hospital

dr. Rizwan Gohar

Assistant Professor Paediatric Medicine

paediatric department, lahore general hospital, lahore, pakistan 

Wajeeh ur Rehman, the children's hospital and university of child health sciences

dr wajeeh ur rehman

assistant professor paediatric surgery, the children's hospital and university of child health sciences, lahore , pakistan

Sidra Rasheed, lahore general hospital

dr. sidra rasheed

Assistant professor gasroenterology, lahore general hospital. Lahore. Pakistan 

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Published

2025-08-16

Issue

Section

Case Report