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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


MARTINEZ VALENZUELA, Noslen; HOSSEIN, Shaneeza; HIRA, Devendra  and  SALAS IZQUIERDO, Celia Catalina. The Long Road from Trichotillomania to Rapunzel Syndrome. Rev Cubana Cir [online]. 2022, vol.61, n.2, e1257.  Epub June 20, 2022. ISSN 0034-7493.


Trichotillomania, trichophagia and trichobezoar are intertwined and interconnected conditions. These should be considered, especially in young women who often have an underlying psychiatric illness or social disorder and possibly a history difficult to get.


To report a case of gastric trichobezoar due to its low incidence in our environment and worldwide.

Clinical case report:

We report the case of a 12-year-old female patient with a history of psychomotor retardation, with no prior follow-up or treatment, who came to consult with her mother, complaining of increased volume in the upper abdomen, of 5 years of evolution with malignant weight loss. Radiological studies reveal a gastric trichobezoar that is corroborated, associated with Rapunzel syndrome, in the exploratory laparotomy. The patient evolved satisfactorily and a multidisciplinary group assisted her.


Gastric bezoars are rare entities. Diagnosis requires high level of suspicion together with radiographic and/or endoscopic studies. The treatment will be determined by the type of bezoar, size and consistency. The surgical option is the most used, requiring interdisciplinary follow-up to avoid recurrences.

Keywords : trichotillomania; trichophagia; gastric trichobezoar; Rapunzel syndrome..

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