{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:41:38Z","timestamp":1776278498349,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Rapunzel syndrome, a rare type of trichobezoar where a hairball in the stomach extends into the small intestine through the pylorus. Intussusception associated with Rapunzel syndrome is particularly rare, with fewer than 10 reported cases worldwide. This report presents a 20-year-old woman with jejunojejunal intussusception caused by Rapunzel syndrome. She had 3 months of upper abdominal pain, vomiting, early fullness, weakness, and noticeable abdominal mass. Contrast-enhanced computed tomography scan revealed a trichobezoar with jejunal extension, causing transient jejunojejunal intussusception. Exploratory laparotomy confirmed the diagnosis of Rapunzel syndrome, and the trichobezoar was removed via gastrotomy. Following extraction, the intussusception resolved spontaneously. The patient was discharged on postoperative Day 7 after an uneventful recovery. Psychiatric evaluation later identified trichotillomania, and behavioural therapy was initiated, with no recurrence. The rare association between trichobezoar and jejunojejunal intussusception underscores the need for prompt diagnosis, definitive surgical management, and psychiatric assessment to minimize the risk of recurrence.<\/jats:p>","DOI":"10.1093\/jscr\/rjag258","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T11:48:33Z","timestamp":1775130513000},"source":"Crossref","is-referenced-by-count":0,"title":["Trichobezoar-associated jejunojejunal intussusception: an exceptionally rare manifestation of Rapunzel syndrome"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9040-6298","authenticated-orcid":false,"given":"Shashwat","family":"Vyas","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr SS Tantia Medical College, Hospital & Research Centre , Hanumangarh Road, Sriganganagar, Rajasthan, 335002 ,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemant","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Renal Transplant Surgery, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust , Prescot Street, Liverpool, L7 8XP \u00a0","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"2026041513430064000_ref1","first-page":"339","article-title":"The Rapunzel syndrome. An unusual complication of intestinal bezoar","volume":"63","author":"Jr","year":"1968","journal-title":"Surgery"},{"key":"2026041513430064000_ref2","doi-asserted-by":"publisher","article-title":"Rapunzel syndrome associated with trichotillomania and pica causing bowel obstruction in a 4-year-old female: a rare case report from Nepal","author":"Pokhrel","DOI":"10.1016\/j.ijscr.2024.110721"},{"key":"2026041513430064000_ref3","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1007\/s001150050631","article-title":"Trichobezoar in a 16-year-old girl: case report and review of literature","volume":"71","author":"Schulte-Markwort","year":"2000","journal-title":"Nervenarzt"},{"key":"2026041513430064000_ref4","doi-asserted-by":"publisher","first-page":"110714","DOI":"10.1016\/j.ijscr.2024.110714","article-title":"Untangling Rapunzel syndrome: a unique presentation of gastric trichobezoar","volume":"126","author":"Agarwal","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"2026041513430064000_ref5","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s40792-023-01631-w","article-title":"The Rapunzel syndrome: a hairy tale","volume":"9","author":"Schuler","year":"2023","journal-title":"Surg Case Rep"},{"key":"2026041513430064000_ref6","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1007\/s10578-020-01117-y","article-title":"Sex differences in age at onset and presentation of trichotillomania and trichobezoar: a 120-year systematic review of cases","volume":"53","author":"Snorrason","year":"2022","journal-title":"Child Psychiatry Hum Dev"},{"key":"2026041513430064000_ref7","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1111\/j.1468-3083.2006.01590.x","article-title":"Trichotillomania +\/\u2212 trichobezoar: revisited","volume":"20","author":"Sehgal","year":"2006","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2026041513430064000_ref8","article-title":"Gastric trichobezoar and Rapunzel syndrome: case report of a very rare condition","author":"Kouskos"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag258\/68087794\/rjag258.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag258\/68087794\/rjag258.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:43:06Z","timestamp":1776274986000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag258\/8654551"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag258","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag258"}}