Illahi Bux.
Multiple Small Bowel Perforations in a patient with Rapunzel Syndrome.
J Surg Pak Jan ;20(3):117-8.

A twelve year old, mentally challenged female, weighing 17 kilogram with the habit of trichophagia and trichotillomania presented with colicky abdominal pain for the last fifteen days. On examination of abdomen generalized tenderness was present. Ultrasound was suggestive of intussusception. At laparotomy trichobezoar mixed with phytobezoar found in stomach with tail up to proximal ileum. There were multiple perforations found in the jejunum and proximal ileum along their length in linear fashion. All perforations were repaired. Postoperative course was uneventful.

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