Intestinal Obstruction due to a Trichobezoar: A Rare Complication of Rapunzel Syndrome

Trichobezoars are rare phenomenon with challenging management related to a lack of clear guidance as to when endoscopic vs surgical approaches are indicated. We present a case of a 20-year-old patient with intellectual disability and a remote history of trichotillomania found to have a large gastric trichobezoar leading to Rapunzel syndrome and a subsequent small bowel obstruction, which was managed through combined endoscopic removal and surgical exploration.