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Rapunzel syndrome complicated with pancreatitis, intussusception and intestinal perforation
  1. Sana Abourazzak1,2,
  2. Ilias Oulidi Jerrar1,
  3. Mounia Lakhdar Idrissi1 and
  4. Moustapha Hida1
  1. 1Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
  2. 2Pediatrics, CHU Hassan II, Fes, Morocco
  1. Correspondence to Professor Sana Abourazzak; abourazzak77{at}; Dr Ilias Oulidi Jerrar; iliassjerrar{at}


We report a case of a 4-year-old girl with limited financial resources, a background history marked by chronic abdominal discomfort and a positive Helicobacter pylori stool antigen test. The child presented with pallor, striking epigastric pain, nausea and vomiting. Blood tests reported high serum lipase levels. Investigations showed proof of nodular gastritis, intussusception and mild acute pancreatitis. The surgical procedure revealed Rapunzel syndrome complicated with intussusception and intestinal perforation, successfully treated. The postoperative course went uncomplicated.

  • Child and adolescent psychiatry (paediatrics)
  • Eating disorders
  • Stomach and duodenum

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  • Contributors IOJ, SA, MLI and MH contributed equally to the design and implementation of the case report, to the analysis of the results and to the writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.