Case Report
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World J Gastrointest Surg. Oct 27, 2013; 5(10): 282-284
Published online Oct 27, 2013. doi: 10.4240/wjgs.v5.i10.282
Rapunzel syndrome: A rare presentation with multiple small intestinal intussusceptions
Bidarahalli Krishna Prasanna, Kuppusamy Sasikumar, Uppinakudru Gurunandan, Gubbi Shamanna Sreenath, Vikram Kate
Bidarahalli Krishna Prasanna, Kuppusamy Sasikumar, Uppinakudru Gurunandan, Gubbi Shamanna Sreenath, Vikram Kate, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Author contributions: Prasanna BK collected data, compiled the manuscript, literature review; Sasikumar K data interpretation, literature review; Gurunandan U data interpretation, literature review; Sreenath GS supervised manuscript preparation, analysis; Kate V design and overall conceptualization of the manuscript.
Correspondence to: Vikram Kate, Professor, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, NH 66 Road, Pondicherry 605006, India. drvikramkate@gmail.com
Telephone: + 91-413-2203330 Fax: +91-413-2203227
Received: July 28, 2013
Revised: September 10, 2013
Accepted: October 15, 2013
Published online: October 27, 2013
Processing time: 94 Days and 18.1 Hours
Core Tip

Core tip: Rapunzel syndrome is a rare condition which occurs in younger age group with trichotillomania and trichophagia. When trichobezoar is diagnosed further work up has to be carried out to rule out the presence of its tail extending into the small intestine causing complications such as intestinal obstruction, bleeding, malnutrition and perforation. We report a case where multiple intussusceptions were present which is rare. Though gastrotomy with enterotomy is advised to remove bezoar, we were able to remove the entire length of intestinal tail through gastrotomy itself and there was no need for enterotomy to remove the intestinal part of bezoar.