A BIZARRE TRICHOBEZOAR: A mystical charm

Abstract

We report a 5 year-old girl who presented with generalized body swelling, skin rashes, loose motions and severe vomiting worsening since 15 days. An initial diagnosis of Tuberculoses (TB) was made based on clinical and radiological findings. She was discharged on anti- tuberculosis medications once her symptoms improved. At 2 week follow-up she had gained weight however vomiting had not decreased. For further evaluation barium follow through examination was performed which showed multiple intraluminal filling defects nearly extending her entire small bowel. An initial diagnosis of bezoar was made which was confirmed during exploratory laprotomy, where a large trichobezoar extending from the stomach to 50 cm proximal to the ileocaecal junction was removed. KEY WORDS: Rapunzel Syndrome, Bezoar, Trichotillomania, Trichobezoars