Rapunzel Syndrome Case Report: A 13-year-old Girl
A 13-year-old girl was admitted with complaints of abdominal pain, nausea, and vomiting. She experienced abdominal pain for approximately 5 months and had complaints of nausea and vomiting for the previous one month. Physical examination revealed epigastric tenderness and a hard mass with smooth margins. No pathologic findings were detected in the patient's laboratory findings, except for iron deficiency anemia.\nThe gastroscopy, which was carried out under anesthesia, revealed a trichobezoar formed by a hair mass, which filled the entire stomach. During the interview with the patient after the procedure, it was found out that the patient ate her own hair for about 10 months. The Psychiatry Department was consulted. Trichotillomania with anxiety disorder was diagnosed. A 50 mg/day dose of Sertraline was prescribed and the operation was postponed for 3 weeks. The patient was operated on after 3 weeks. At the operation, a 23 × 8 cm bezoar was removed as a whole through a gastrostomy incision of approximately 10 cm at the anterior surface of the gastric corpus [Figures and ]. There were no postoperative complications. The patient was discharged from the hospital with the advice of the Psychiatry Department.