{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T16:43:40Z","timestamp":1771260220948,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,23]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>This is a case of a 14-year-old woman diagnosed with acute pancreatitis based on history and laboratory investigations. CT scan confirmed the diagnosis of acute pancreatitis along with the presence of two bezoars in the stomach and proximal jejunum. Gastroscopy showed a large trichobezoar with difficult endoscopic extraction. Accordingly, the patient underwent laparotomy, gastrostomy and enterotomy with successful removal of the large gastric and jejunal daughter bezoars. Following surgery, pancreatitis resolved and investigations returned to normal. Child psychiatry consultation was sought, and she was diagnosed with trichotillomania and trichophagia.<\/jats:p>","DOI":"10.1136\/bcr-2018-229173","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T05:05:32Z","timestamp":1575435932000},"page":"e229173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Rare case of trichobezoar causing pancreatitis in a young woman"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8845-1951","authenticated-orcid":false,"given":"Asma","family":"AlQaseer","sequence":"first","affiliation":[{"name":"General Surgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7097-261X","authenticated-orcid":false,"given":"Rawan A Rahman","family":"AlHarmi","sequence":"additional","affiliation":[{"name":"General Surgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nooruddin","family":"AbuAli","sequence":"additional","affiliation":[{"name":"General Surgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"General Surgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,3]]},"reference":[{"key":"2025082623412306000_12.12.e229173.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2570-0"},{"key":"2025082623412306000_12.12.e229173.2","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2009.822"},{"key":"2025082623412306000_12.12.e229173.3","first-page":"422","article-title":"Trichobezoar: an unusual cause for pancreatitis in a patient with sickle cell anemia","volume":"2","author":"Stein-Wexler","year":"2006","journal-title":"Gastroenterol Hepatol"},{"key":"2025082623412306000_12.12.e229173.4","doi-asserted-by":"publisher","DOI":"10.1136\/adc.59.10.994"},{"key":"2025082623412306000_12.12.e229173.5","doi-asserted-by":"publisher","DOI":"10.1159\/000102098"},{"key":"2025082623412306000_12.12.e229173.6","first-page":"e128","article-title":"Recurrent Rapunzel syndrome","volume":"52","author":"Tiwary","year":"2011","journal-title":"Singapore Med J"},{"key":"2025082623412306000_12.12.e229173.7","doi-asserted-by":"crossref","unstructured":"Hamid M , Chaoui Y , Mountasser M , et al . Giant gastric Trichobezoar in a young female with Rapunzel syndrome: case report. Pan Afr Med J 2017;27.doi:10.11604\/pamj.2017.27.252.9110","DOI":"10.11604\/pamj.2017.27.252.9110"},{"key":"2025082623412306000_12.12.e229173.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.07.046"},{"key":"2025082623412306000_12.12.e229173.9","article-title":"Laparoscopic management of acute pancreatitis secondary to Rapunzel syndrome","volume":"2016","author":"Koushk Jalali","year":"2016","journal-title":"Case Rep Surg"},{"key":"2025082623412306000_12.12.e229173.10","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.jpedsurg.2011.11.002","article-title":"Trichobezoar causing pancreatitis: first reported case of Rapunzel syndrome in a boy in North America","volume":"47","author":"Kohler","year":"2012","journal-title":"J Pediatr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-229173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:41:36Z","timestamp":1756276896000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-229173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,3]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2018-229173"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-229173","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}