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A 14-year-old girl with no psychiatric background presented with painful epigastric mass and vomiting. Physical examination showed emaciated appearance, epigastric swelling, hair loss and halitosis. Abdominal ultrasound identified a hyperechoic curvilinear mass with acoustic shadowing. Abdominal CT revealed a heterogeneous image in the gastric lumen, suspicious of trichobezoar (figure 1). An upper gastrointestinal endoscopy identified a ‘comet tail’ extension to duodenum suggestive of Rapunzel syndrome.
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