title: Rapunzel syndrome reviewed and redefined.
abstract: Rapunzel syndrome is a rare presentation of a trichobezoar, with 24 cases having been reported in literature so far. This syndrome has been reported in 23 female and 1 male patient with a mean age of 10.8 years. The patients commonly present with abdominal pain, nausea, vomiting and signs of obstruction. The distal end of the bezoar may be in the jejunum, ileum or the colon. We evaluate the various cases reported and discuss the various modes of presentation of this uncommon syndrome, and also present a series of 3 cases, all females, aged 16, 18 and 21 years, and had a trichobezoar in the stomach with a tail extending into the ileum.
authors.affiliation: Department of Surgery, Pandit Jawahar Lal Nehru Medical College, Raipur, and Department of Surgical Gastroenterology, Bhopal Memorial Hospital, India. saleemnaik@yahoo.com
authors.forename: Saleem
authors.initials: S
authors.lastname: Naik
authors.forename: Vivek
authors.initials: V
authors.lastname: Gupta
authors.forename: Swati
authors.initials: S
authors.lastname: Naik
authors.forename: Ashwin
authors.initials: A
authors.lastname: Rangole
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Chaudhary
authors.forename: Prashant
authors.initials: P
authors.lastname: Jain
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Sharma
mesh_terms: D000293:Adolescent; D000328:Adult; D001630:Bezoars / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum; D007415:Intestinal Obstruction / Q000209:etiology*; D007583:Jejunum; D008297:Male; D011859:Radiography; D013270:Stomach; D013577:Syndrome