"Rapunzel Syndrome: An Unusual Onset Case Report"

Bezoar is an accumulation of organic substances in the gastrointestinal tract. This condition is extremely rare, their incidence in the pediatric population is unknown. Bezoars usually occur in females, adolescents, and children with psychiatric or neurological disorders. Trichobezoar refers to the accumulation of hair usually in the stomach and even beyond it (Rapunzel syndrome). We present the clinical case of a school-age female patient who started with neurological symptoms (headache, syncope) and then developed gastrointestinal symptoms. Only later was clarified a history of bullying at school and consequent anxious behaviors (trichotillomania and trichophagia). It’s very important a thorough medical history, especially in patients with Trichobezoar, to highlight psychological disorders that can cause trichotillomania and trichophagia.