IJCNMH ARCpublishing

Issue: Issue 1 (2014)

Case Report

Rapunzel Syndrome: a case report

Sofia Leite, Constança Reis, and Manuel Esteves
Background: Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. Trichobezoars consist of hairballs in the lumen of the digestive tract; when it extends past the duodenum it is called Rapunzel Syndrome. Although trichobezoars are not uncommon, they are rare in psychiatric literature. The authors present a clinical case of Rapunzel syndrome and discuss some relevant aspects concerning the identification and treatment of this entity.

Case Report: This report documents the case of a 21-year-old female patient with a trichobezoar submitted to surgical intervention. She had a history of hair pulling since the age of 4 with intermittent psychiatric follow-up.

Conclusions: Early diagnosis and intervention are crucial, but not always sufficient to avoid serious complications. Further research is needed to increase knowledge regarding the etiology and treatment of this psychiatric condition.

Keywords: Trichotillomania, Trichophagia, Trichobezoar, Rapunzel Syndrome

International Journal of Clinical Neurosciences and Mental Health 2014; 1:5

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