Bezoars are ingested foreign materials present within the gastrointestinal system. They can be further
classified based on their composition and trichobezoar is one subtype with hair as content. Rapunzel syndrome is a rare type of trichobezoar in which the hairball is seen extending into the small bowel. Delay in diagnosis may lead to serious complications like bowel obstruction and perforation.
Keywords: : Episiotomy scar endometriosis; perineal scar endometriosis; scar endometriosis
Introduction
A rare diagnosis of Rapunzel syndrome was suspected in a 10 year old female child who presented with abdomen pain and generalised weakness. There was no history of psychiatric illness. Clinical examination revealed patchy areas of frontal alopecia (Figure 1) and a painless, mobile mass was felt
in the epigastrium. Laboratory blood parameters showed reduced haemoglobin (Hb-8gm%). Plain X-ray abdomen showed compact heterogeneous mottled mass with areas of calcification and crescent of air surrounding it (Figure 2).