Hypoproteinemia: An eye of suspicion towards the diagnosis of rapunzel syndrome

Abstract

The Rapunzel syndrome is the usually name given to the trichobezoar related condition in which there is extension of tail of trichobezoar from its origin to the distant location. Trichobezoar is the rare clinical entity found usually in the pediatric population and young females with underlying psychiatric condition. There is huge collection of undigested materials like hairs, threads, etc. leading to various clinical complications if not diagnosed and removed on time. Hypoproteinemia is a rare presentation of complication of this Rapunzel syndrome due to protein losing enteropathy. We encountered with the case of hypoproteinemia giving clue to the diagnosis of Rapunzel syndrome.