Hematemesis, alopecia and epigatric mass: What to think of?

Rapunzel syndrome is a rare psychological condition characterized by the compulsive ingestion of hair, known medically as trichophagia. This condition can lead to the formation of trichobezoars, which are hairballs that can accumulate in the gastrointestinal tract, causing obstructive issues. Symptoms may include abdominal pain, nausea, and vomiting. It often occurs alongside trichotillomania, where individuals pull out their hair. Treatment typically involves psychiatric counseling, behavioral therapy, and, in severe cases, surgical intervention to remove hairballs. Early diagnosis and management are crucial to prevent complications, emphasizing the importance of addressing underlying psychological issues associated with this syndrome.