H.L.H.(Female, 3 years old, residing in Dak Lak) Entering the emergency department with symptoms of abdominal pain around the navel, about 5 days with abdominal disturbance, small facilities, 5 days bowel movements.

Earlier, the patient was taken to another medical facility, diagnosing the intestine, removing the cage by steam twice, but the condition did not decrease, so the family would like to transfer to Buon Ma Thuot University Hospital.

Family members shared: Children have the habit of having their own hair and eating for about 3 months now.1 month now, family members see children anorexia, thin weight loss, have a private clinic but do not help.

Pediatric patients are examined and performed by doctors, discovering blocks in the upper region, about 15x10 cm in size, mobile density, pain and 3 small blocks around the navel size 2x3CM, density, mobile, pain.

With clinical illness, a history of pediatric patients and subclinical signs, doctors diagnose surgery to be small intestine and gastrointestinal objects due to buns.

Pediatric patients were performed surgery to open the colon of hair to pull the strands from the stomach to almost all causing the intestinal cage with many segments.Open the stomach to get the 15x10x10 hair block, which occupies close to the entire stomach and duodenum.

After the surgery, the patient stabilized and had no complications after surgery.Pediatric patients are transferred to pediatric treatment for pneumonia, nutritional care and guidance on psychiatric examination to avoid recurrence.

Rapunzel syndrome is a rare form of hair -eating disorders or hair jerking syndrome (scientific name is Trichotillommania, trichotillosis), in which people have a habit of pulling and eating their own hair.This condition can lead to a bun formation in the stomach or intestines, causing serious digestive problems.

Hair jerk addiction syndrome is a feeling of intentional ties (sometimes eating) of your hair, your hair leads to a significant loss of hair or hair, anxiety and decline in life function., or the trend is not good at the presence of others.

Hair jerk addiction syndrome affects 1-2% of the world's population.The disease is seen in both men and women, but in children more common, often developing right before or in teenagers - the most common is from 10 to 13 years old.At older age, the disease is more common in girls in boys.

The level of hair jerky depends from time to time, but the sign of diagnosing a person with hair jerky syndrome includes: hair loss, unable to control himself to perform significant troubles..If not treated will lead to some complications.

Therefore, relatives should observe thoroughly when caring for children to detect early issues of psychological health, when detecting children with abnormal signs such as eating hair, parents should take children to medical facilities.Sacrifice for advice, timely diagnosis and treatment, and join the medical staff in supporting to limit the behavior of swallowing hair and mental support for children.