Rapunzel syndrome - Diagnosis and Treatment
Trichobezoars are hairballs or hair-like fibers formed by chewing and swallowing hair or any other indigestible materials. Trichobezoars usually form in the gastric body and are thus prepyloric. However, trichobezoars may rarely pass through the pylorus into the duodenum, jejunum, ileum, and even the colon, in a condition referred to as Rapunzel syndrome. Here, we present a case of a 13-year-old girl with this rare syndrome and discuss the diagnosis and treatment of the disease.

Case Report
A 13-year-old girl of normal intelligence presented with a 7-year history with hair in the feces and 3 months of upper abdominal pain with intermittent vomiting that worsened after meals.The girl was 165?cm tall and weighed only 37?kg. She looked pale and a little depressed. She had no patchy alopecia or halitosis. Physical examination revealed a flat abdominal wall, normal bowel sounds, and a large solid palpable mass from the epigastrium to the periumbilical region; however, there were no signs of peritonitis.