Intestinal Obstruction due to a Trichobezoar: A Rare Complication of Rapunzel Syndrome
Trichobezoars are rare phenomenon with challenging management related to a lack of clear guidance as to when endoscopic vs surgical approaches are indicated. We present a case of a 20-year-old patient with intellectual disability and a remote history of trichotillomania found to have a large gastric trichobezoar leading to Rapunzel syndrome and a subsequent small bowel obstruction, which was managed through combined endoscopic removal and surgical exploration.
Authors
- Guy Jensen (ORCID: https://orcid.org/0000-0003-3481-4742)
- Michael Pickens
- Khang-Cheng Ho (ORCID: https://orcid.org/0009-0005-9248-224X)
- Hannibal Person (ORCID: https://orcid.org/0000-0002-1509-8296)
- Steven L. Lee (ORCID: https://orcid.org/0000-0001-8346-4158)
Institutions
- Children's Hospital Colorado (US)
- Seattle Children's Hospital (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- ACG Case Reports Journal
- Published
- 2025-11-01
- DOI
- https://doi.org/10.14309/crj.0000000000001889
- Primary Topic
- Intestinal and Peritoneal Adhesions
- Type
- article
- Field-Weighted Citation Impact
- 0.00