{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:44:52Z","timestamp":1790869492952,"version":"4.1.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T00:00:00Z","timestamp":1549324800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Bezoars are indigestible foreign material in the gastrointestinal tract (GIT). A phytobezoar is a mass of plant material, while a trichobezoar consists of matted hair. This is found most commonly in the stomach in children who chew their long hair. When a gastric trichobezoar extends to the duodenum or jejunum, this is known as Rapunzel syndrome (RS), after a famous Brothers\u2019 Grimm fairy tale. Our patient presented with haematemesis, localised peritonitis, a palpable epigastric mass, coagulopathy, severe anaemia and deranged liver function tests. An abdominal computed tomography scan was suggestive of a bezoar; gastroduodenoscopy confirmed the diagnosis. Treatment of trichobezoars normally involve endoscopic removal or gastrotomy and psychiatric intervention. They may also cause haematemesis, gastric outlet obstruction, gastric ulceration and perforation, multiple jejuno-jejunal intussusception, acute pancreatitis and cholestatic jaundice. Trichobezoar was first reported in the 18th century by Baudamant in a 16-year-old boy. RS was first described in 1968.<\/jats:p>","DOI":"10.1177\/0049475519826477","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T23:35:21Z","timestamp":1549409721000},"page":"133-135","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Rapunzel syndrome in adult with mysterious presentation: a rare case report with literature review"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3397-1386","authenticated-orcid":false,"given":"Navin","family":"Kumar","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhanul","family":"Huda","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Gastroenterology, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YS","family":"Payal","sequence":"additional","affiliation":[{"name":"Additional Professor, Department of Anaesthesiology, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utkarsh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhiraj","family":"Mallik","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2,5]]},"reference":[{"key":"bibr1-0049475519826477","first-page":"339","volume":"63","author":"Vaughan ED","year":"1968","journal-title":"Surgery"},{"key":"bibr2-0049475519826477","doi-asserted-by":"publisher","DOI":"10.1159\/000102098"},{"key":"bibr3-0049475519826477","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.03.030"},{"key":"bibr4-0049475519826477","first-page":"97","volume":"135","author":"Barzilai M","year":"1998","journal-title":"Harefuah"},{"key":"bibr5-0049475519826477","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-199706000-00021"},{"key":"bibr6-0049475519826477","first-page":"476","volume":"83","author":"Andrus C","year":"1988","journal-title":"Am J Gastroenterol"},{"key":"bibr7-0049475519826477","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2013.01.001"},{"key":"bibr8-0049475519826477","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)64889-1"},{"key":"bibr9-0049475519826477","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1986.tb139511.x"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519826477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475519826477","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519826477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:31:28Z","timestamp":1777642288000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475519826477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,5]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1177\/0049475519826477"],"URL":"https:\/\/doi.org\/10.1177\/0049475519826477","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,5]]}}}