title: A rare variant of rapunzel syndrome-acute small bowel obstruction caused by ball of hairs in distal ileum with its tail extending in caecum and ascending colon.
abstract: Rapunzel syndrome is an extremely rare variant of Trichobezoar. Trichobezoar commonly occurs in patients with psychiatric disturbances as trichophagia (morbid habit of chewing the hair) and Trichotillomania (habit of hair pulling). Bezoars are commonly found in the stomach. In very rare cases of Rapunzel syndrome, hair extends through the pylorus into the small bowel and very uncommonly in large intestine causing symptoms and signs of partial or complete intestinal obstruction. A case report of a rare variant of Rapunzel syndrome, where ball of hairs in small bowel with its tail extending in caecum and ascending colon causing acute small bowel obstruction, is reported in a 13-year-old girl.
authors.affiliation: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan.
authors.forename: Nauman
authors.initials: N
authors.lastname: Ahmed
authors.affiliation: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan.
authors.forename: Muhammed Aslam
authors.initials: MA
authors.lastname: Baloch
authors.affiliation: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan.
authors.forename: Khan Muhammad
authors.initials: KM
authors.lastname: Baber
authors.affiliation: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan.
authors.forename: Javaid
authors.initials: J
authors.lastname: Ahmed
mesh_terms: D000293:Adolescent; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis; D002432:Cecum; D044682:Colon, Ascending / Q000502:physiology*; D005260:Female; D006197:Hair; D006801:Humans; D007082:Ileum; D007415:Intestinal Obstruction / Q000209:etiology*; D013270:Stomach
keywords: Rapunzel syndrome, Trichobezoar, Bezoars.