Keywords
Trichotillomania
Trichobezoar
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Abstract
Objective: To analyze the incidence of patients with Rapunzel Syndrome who developed gastric trichobezoar as a complication, identifying risk factors, clinical manifestations, diagnostic methods, and therapeutic approaches. Methods: This is an integrative literature review conducted in September 2023. Articles were selected from LILACS, PubMed, and MEDLINE databases using the descriptors "bezoar," "trichobezoar," and "trichotillomania" in Portuguese, Spanish, and English, combined with the Boolean operator "OR." Studies published between July 2013 and August 2023 were included, excluding congress proceedings and editorials. Results: Nineteen articles were included in the final analysis. Most cases occurred in young women with psychiatric disorders, mainly trichotillomania. The most common symptoms were abdominal pain, nausea, vomiting, and weight loss. In severe cases, intestinal obstruction and gastric perforation were reported. Diagnostic methods included endoscopy and computed tomography. Endoscopic removal was effective for small bezoars, while surgery was necessary for larger ones. There are no standardized treatment protocols, reinforcing the need for individualized management. Final considerations: Rapunzel Syndrome remains a diagnostic challenge due to its rarity and non-specific symptoms. Early recognition and a multidisciplinary approach are crucial to reducing complications and recurrence.
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