Hair is resistant to digestion, lodging in the gastric lining, which when compounded, can form mass known as trichobezoars, commonly found in individuals with hair-eating behaviors.
Rapunzel syndrome is an extreme case of trichobezoars where hair moves from the stomach into the intestines, carrying severe complications like perforation or pancreatitis.
Addressing any underlying psychiatric disorders, such as trichotillomania, is crucial for patients with trichobezoars, as shame often complicates diagnosis and treatment.
Trichobezoars are often undetectable on scans unless oral contrast is used, making them difficult to diagnose until procedures like esophagogastroduodenoscopy are performed.
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