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Rapunzel syndrome: a diagnosis overlooked
Article first published online: 20 DEC 2006
DOI: 10.1111/j.1651-2227.2007.00012.x
©2006 The Author(s)/Journal Compilation © 2006 Foundation Acta Pædiatrica/Acta Pædiatrica
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How to Cite
Mathai, J., Chacko, J., Kumar, T. S., Scott, J. X., Agarwal, I. and Varkki, S. (2007), Rapunzel syndrome: a diagnosis overlooked. Acta Paediatrica, 96: 135–137. doi: 10.1111/j.1651-2227.2007.00012.x
Publication History
- Issue published online: 20 DEC 2006
- Article first published online: 20 DEC 2006
- Received 1 June 2006; revised 1 June 2006; accepted 20 June 2006
- Abstract
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Keywords:
- Diagnosis;
- Pediatric trichobezoar;
- Rapunzel syndrome
Abstract
We report two children who presented with a painless abdominal mass masquerading as a splenic enlargement. The paucity of symptoms resulted in delayed diagnosis. At laparotomy the trichobezoars were found to have a tail extending into the small intestine.
Conclusion: This condition eludes diagnosis unless sought for particularly in the paediatric age group. Hence we present our experience of two consecutive cases of paediatric Rapunzel syndrome, along with the relevant literature and in retrospect, how an early diagnosis could have been made.