title: Rapunzel and pregnancy.
abstract: Rapunzel, the girl with long golden tresses in the fairy tale, inspired Vaughan et al to describe, in 1968, cases of trichobezoar with a long tail causing bowel obstruction as "Rapunzel syndrome." A 22-year-old Egyptian woman had been suffering from episodes of epigastric pain and vomiting throughout her pregnancy and puerperium. After diagnosing pancreatitis, we discovered a trichobezoar in her stomach. In an emergent gastrotomy, she was found to have a gastric trichobezoar with a long tail extending down to her duodenum. This is one of the very few cases of Rapunzel syndrome to be complicated by pancreatitis; to our knowledge, it is the first to be reported postpartum.
authors.affiliation: Internal Medicine Department, Cairo University, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Salem
authors.forename: Ragai
authors.initials: R
authors.lastname: Fouda
authors.forename: Usama
authors.initials: U
authors.lastname: Fouda
authors.forename: Mohamed E L
authors.initials: ME
authors.lastname: Maadawy
authors.forename: Hussam
authors.initials: H
authors.lastname: Ammar
mesh_terms: D000328:Adult; D001630:Bezoars / Q000150:complications / Q000175:diagnosis* / Q000523:psychology / Q000601:surgery; D004386:Duodenum; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010195:Pancreatitis / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011644:Puerperal Disorders / Q000175:diagnosis / Q000601:surgery; D013270:Stomach; D014256:Trichotillomania / Q000150:complications