{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:11:09Z","timestamp":1778335869118,"version":"3.51.4"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Trichotillomania is a psychiatric disorder in which one is urged to pull hairs and eyelashes out and one is urged to eat these pulled-out hairs, resulting in Rapunzel syndrome (a rare disorder where gastric trichobezoars traverse into the small intestine and can lead to intestinal obstruction). Here we present two case reports. In the First case, a 17 years old\u00a0boy presented with a\u00a0history of recurrent pancreatitis\u00a0and\u00a0microcytic anemia, while the other patient was a 16 years old female presenting with complaints of epigastric pain and non-projectile, foul-smelling vomiting associated with a low-grade fever. Both had a history of depression and compulsive hair-pulling and eating. After successful surgical management, both patients were eventually referred to Psychiatry.\r\ndoi: https:\/\/doi.org\/10.12669\/pjms.41.6.11387\r\nHow to cite this: Butt N, Rai L, Mohiuddin G. A hairy tail in the stomach: A silent warning. Pak J Med Sci. 2025;41(6):1854-1856.\u00a0 doi: https:\/\/doi.org\/10.12669\/pjms.41.6.11387\r\nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:\/\/creativecommons.org\/licenses\/by\/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.<\/jats:p>","DOI":"10.12669\/pjms.41.6.11387","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T18:08:58Z","timestamp":1748974138000},"page":"1854-1856","source":"Crossref","is-referenced-by-count":1,"title":["A hairy tail in the stomach: A silent warning"],"prefix":"10.12669","volume":"41","author":[{"given":"Dr. Nazish","family":"Butt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dr. Lajpat","family":"Rai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Ghulam Mohiuddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4935","published-online":{"date-parts":[[2025,6,3]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/11387\/2839","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/11387\/2839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T13:29:56Z","timestamp":1778333396000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/11387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,2]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.41.6.11387","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6,3]]}}}