RAPUNZEL SYNDROME WITH REVERSE INTUSSUSCEPTION MANAGED BY LAPAROSCOPY: CASE REPORT

BACKGROUND AND OBJECTIVES: Rapunzel syndrome is a rare type of trichobezoars with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Standard treatment of large gastric bezoars not amenable to medical or endoscopic management is surgical removal. The optimal operative approach, laparotomy versus laparoscopy, is a contested subject. Though laparoscopic removal has been described, it remains a relatively new technique for surgical management with outcome literature limited to case reports. In addition, currently described laparoscopic techniques often involve limited midline laparotomy incisions or 4 cm extensions of port sites. A case report of trichobezoars in the stomach causing Rapunzel syndrome with reverse intussusception in a 19-year-old female is reported.