{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:34:41Z","timestamp":1766399681225,"version":"3.48.0"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Bezoars are masses of indigestible material within the gastrointestinal tract. Trichobezoars, composed of hair, are rare and typically occur in young females with psychiatric conditions. Rapunzel syndrome is a severe variant where the trichobezoar extends into the small intestine. We report a case of a 7\u2010year\u2010old girl presenting with acute abdominal pain, reduced appetite, and a palpable epigastric mass. She had a history of trichophagia and weight loss. Investigations revealed microcytic hypochromic anemia and a large intragastric mass extending into the duodenum, with associated jejunojejunal intussusception on CT scan. She underwent laparotomy with gastrotomy, and a 15\u2009\u00d7\u20097\u2009cm trichobezoar was removed. Intraoperatively, the intussusception had spontaneously reduced, and the small bowel was viable with no resection required. Postoperative recovery was complicated by wound infection. Psychiatric assessment confirmed trichotillomania and trichophagia. This case emphasizes the importance of early recognition of Rapunzel syndrome in children with behavioral symptoms and abdominal complaints. Surgical removal remains the definitive treatment, and psychiatric follow\u2010up is crucial to prevent morbidity and recurrence. Prompt diagnosis, timely surgical management, and structured psychiatric follow\u2010up are essential to prevent recurrence and morbidity.<\/jats:p>","DOI":"10.1002\/ccr3.71634","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T11:43:06Z","timestamp":1765366986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Rapunzel Syndrome Presenting With Jejunojejunal Intussusception Managed Surgically: A Rare Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8319-028X","authenticated-orcid":false,"given":"Muhammad","family":"Irfan","sequence":"first","affiliation":[{"name":"Department of Surgery Shaheed Mohatarma Benazir Bhutto Medical College  Lyari Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7929-0216","authenticated-orcid":false,"given":"Hafiz","family":"Abdul Mughees","sequence":"additional","affiliation":[{"name":"Department of Surgery Foundation University Medical College  Islamabad Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7802-5767","authenticated-orcid":false,"given":"Muhammad","family":"Talha Safdar","sequence":"additional","affiliation":[{"name":"Department of Surgery Shaheed Mohatarma Benazir Bhutto Medical College  Lyari Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1800-1800","authenticated-orcid":false,"given":"Muhammad","family":"Hassaan Javaid","sequence":"additional","affiliation":[{"name":"Shifa College of Medicine  Islamabad Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9771-3678","authenticated-orcid":false,"given":"Rehman","family":"Asif","sequence":"additional","affiliation":[{"name":"Shaheed Mohatarma Benazir Bhutto Medical College  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7907-3017","authenticated-orcid":false,"given":"Abubakr","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Khartoum  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4128-0598","authenticated-orcid":false,"given":"Muhammad","family":"Bilal Masood","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Wah Medical College  Wah Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5252-095X","authenticated-orcid":false,"given":"Tashfeen","family":"Farooq","sequence":"additional","affiliation":[{"name":"Department of Surgery Advance International Hospital  Islamabad Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6622-9891","authenticated-orcid":false,"given":"Fatima","family":"Nazir","sequence":"additional","affiliation":[{"name":"Department of Surgery Rawalpindi Medical University  Rawalpindi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","first-page":"476","article-title":"Bezoars: Classification, Pathophysiology, and Treatment","volume":"83","author":"Andrus C. H.","year":"1988","journal-title":"American Journal of Gastroenterology"},{"issue":"5","key":"e_1_2_11_3_1","first-page":"342","article-title":"Phytobezoar: An Uncommon Cause of Small Bowel Obstruction","volume":"74","author":"Chisholm E. 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B.","year":"2018","journal-title":"Acta Dermatovenerologica Alpina, Pannonica et Adriatica"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2021.112465"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-023-01631-w"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X231165171"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/jiaps.JIAPS_1_19"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2570-0"},{"key":"e_1_2_11_15_1","first-page":"1","article-title":"Trichobezoar","volume":"140","author":"Ohnesorge S.","year":"2020","journal-title":"Tidsskrift for Den Norske Legeforening"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-018-1883-9"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0774-8.10030-2"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/841028"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2020.18890"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/2702896"},{"key":"e_1_2_11_21_1","article-title":"Trichobezoar: A Diagnosis Which Is Hard to Swallow and Harder to Digest","volume":"2014","author":"Sanneerappa P. 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