An Abdominal mass in a child with PICA; Rapunzel syndrome. A case report
a case report
Keywords:
KEY WORDS: Bezoars, Trichobezoar, Trichophagia, TrichotillomaniaAbstract
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.