Une étiologie rare d’occlusion grêlique

Rapunzel Syndrome

“…[ 7 ] In extreme cases, it can be diagnosed following serious complications, the main ones being upper gastrointestinal bleeding on ulceration, peritonitis by digestive perforation with peritonitis or fistula, intestinal obstruction, acute intussusception, acute pancreatitis or cholestasis by obstruction of the ampulla of Vater. [ 1 2 ] In our observation, the mode of revelation was a small-bowel occlusion. Ultrasound shows the bezoar as an arcuate hyperechoic endoluminal formation with a posterior shadow cone.…”

“…Ultrasound shows the bezoar as an arcuate hyperechoic endoluminal formation with a posterior shadow cone. [ 1 ]…”

“…The bezoar is defined as any ingested but undigested substance accumulating as a solid mass in the digestive lumen, most often gastric. [ 1 2 ] The extension in the small intestine is quite exceptional, and represents a source of threatening complications, thus realising Rapunzel syndrome,[ 3 ] thus representing 2%–3% of all the aetiologies of small intestinal obstruction. [ 4 ] Its diagnosis is mainly based on imaging.…”