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Hall, J.D. and Shami, V.M. (2006) Rapunzel’s syndrome: Gastric bezoars and endoscopic management. Gastrointestinal Endoscopy Clinics of North America, 16, 111-119. doi:10.1016/j.giec.2006.01.012

has been cited by the following article:

• TITLE: An unusual cause of gastric outlet obstruction in a young girl: Trichobezoar

  AUTHORS: Mahdi Bouassida, Hédi Charrada, Mohamed Fadhel Chtourou, Lamine Hamzaoui, Mohamed Monji Mighri, Mohamed Msaddak Azzouz, Hassen Touinsi, Sadok Sassi

  KEYWORDS: Trichobezoar; Young Children; Gastric Outlet Obstruction; Trichotillomania

  JOURNAL NAME: Open Journal of Gastroenterology, Vol.2 No.4, November 30, 2012

  ABSTRACT: Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosis difficult. We report the case of a 6-year-old girl with a history of abdominal pain, distension, weight loss, and attacks of vomiting. Upper gastrointestinal endoscopy revealed a trichobezoar occupying almost the whole gastric cavity. The gastric bezoar was removed by surgery. Gastric trichobezoar is exceptional in young children and can lead to stunting and gastric outlet obstruction. After definitive surgical or endoscopic treatment, pediatric psychiatric consultation should be opted for any mental disorder and for prevention of further recurrence.