Síndrome de Rapunzel. Una causa poco frecuente de obstrucción intestinal

Saldivar-Vera, Dante A.; Alvarado-Bahena, Pedro A.; Chávez-Serna, Enrique; Salgado-Vives, Jonathan; Hernández-Bustos, Uraik F.

doi:10.24875/ciru.20001407

Cited by 2 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many individuals within this cohort report experiencing parental dissatisfaction, bereavement, or familial issues. Thus, offering parental or spousal counseling forms an integral facet of treatment, contributing to the prevention of recurrence [ 7 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome: A Rare Case of Phyto-Trichobezoar in an Indian Girl

Rajinikanth B,

Kumar J,

et al. 2023

Cureus

View full text Add to dashboard Cite

Phyto-trichobezoar is a rare disorder characterized by the formation of mass in the gastrointestinal tract (GIT) by the ingested inedible material, mostly hair and thread. The ingestion of hair is a rare psychiatric disorder called trichotillomania, which is more common in girls. An 11-year-old girl presented with clinical features of GIT obstruction, which were diagnosed to be Rapunzel syndrome by computed tomography. The phyto-trichobezoar was removed en masse by the anterior gastrotomy, which extended beyond the duodenum. The girl, after recovery, was counseled and treated for subclinical depression.

show abstract

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome: A Rare Case of Phyto-Trichobezoar in an Indian Girl

Rajinikanth B,

Kumar J,

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Rapunzel Syndrome in a Teenage Girl: A Case Report

Sivasubramanian¹,

Ashokkumar²,

Afzal³

et al. 2022

Cureus

View full text Add to dashboard Cite

Trichobezoars are concretions of retained, undigested material, mostly hair or hair-like fibers in the stomach. Rapunzel syndrome is the condition when trichobezoars extend into the small bowel, leading to various complications including bowel obstruction, and perforation due to pressure necrosis.We present an interesting case of trichobezoar in a 15-year-old female patient, who presented with abdominal pain for one month duration. The exam was notable for a firm palpable mass in the epigastric area associated with localized tenderness and guarding. Contrast-enhanced CT of the abdomen showed a distended stomach with the bezoar, dilated duodenal loops, and clumping of proximal jejunal loops. Upper gastrointestinal endoscopy showed a trichobezoar extending from the oesophagogastric junction to the pylorus. Endoscopic removal of the trichobezoar was not successful.An elective laparotomy was performed, during which the stomach, duodenum, and proximal jejunum were dilated. The trichobezoar, measuring 35 cm in length, extended from the body of the stomach to the proximal jejunum and caused jejunal perforation due to pressure necrosis. The trichobezoar was removed and primary closure of jejunal perforation with diversion gastrojejunostomy and jejunostomy was done. There were no postoperative complications. The patient followed up with psychiatry in the clinic after discharge, she was diagnosed with trichotillomania and started on fluoxetine, with improvement in her behavioral symptoms.In young female patients with nonspecific chronic abdomen pain and a palpable mass, trichobezoar should be considered in the differential diagnosis. Contrast-enhanced abdomen CT is the preferred imaging modality and removal of the trichobezoar with an appropriate endoscopic or surgical procedure is the treatment of choice. It is essential to diagnose and treat the underlying behavioral condition to prevent recurrent episodes.

show abstract

Síndrome de Rapunzel. Una causa poco frecuente de obstrucción intestinal

Cited by 2 publications

References 16 publications

Rapunzel Syndrome: A Rare Case of Phyto-Trichobezoar in an Indian Girl

Rapunzel Syndrome: A Rare Case of Phyto-Trichobezoar in an Indian Girl

Rapunzel Syndrome in a Teenage Girl: A Case Report

Contact Info

Product

Resources

About