Rapunzel syndrome

Rapunzel syndrome2016-12-07T06:18:47+00:00

Rapunzel syndrome

Rapunzel syndrome image from New Medical Terms

Rapunzel

PSYCHIATRY

Definition A fanciful term for the symptoms of a massive trichobezoar resulting from trichotillomania and trichophagia, which occurs mainly in female psychiatric or mentally retarded patients

Clinical findings Epigastric pain, bloating, nausea, vomiting due to obstruction

Imaging Mass lesion, usually gastric, with strands of hair extending into upper small intestine

Lab Hypochromic microcytic anaemia–hair chelates iron

Rapunzel syndrome trichobezoar image from New Medical Terms

Rapunzel syndrome trichobezoar

Management Surgery

…to include brain transplant if indicated

Comment Rapunzel was the fuzzy femme fatale of fairy tale fame fabricated by Les Bros Grimm. In the original telling, the hirsute hussy lassoed her laddie with her cornrowed coif: he climbed up the tower and onto Rapunzel. Apparently explaining pregnancy complicated bed-time story-telling rituals to toddlers, so a knocked up Rapunzel was knocked out of the script, facilitating Disney et al’s, feeding of family fare

Reference en.wikipedia.org/wiki/Rapunzel

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