Sindrom Rapunzel – rijedak uzrok akutnog pankreatitisa
نویسندگان
چکیده
Cilj: Osvijestiti o mogućnosti postojanja sindroma Rapunzel u adolescentica s akutnim pankreatitisom. Prikaz slučaja: U hitnu pedijatrijsku ambulantu javila se petnaestogodišnja djevojka zbog povremenih bolova gornjem dijelu abdomena koji su intenzivirali par dana pred dolazak. Prilikom fizikalnog pregleda nađena je epigastriju i lijevom hipohondriju bolna rezistencija veličine otprilike 10 cm promjeru. Opsežnom laboratorijskom analizom našle povišene koncentracije enzima gušterače te postavila dijagnoza akutnog pankreatitisa. Daljnjom obradom indicirala gastroskopija kojom prikazala masa kose na ulazu želudac. Kompjutoriziranom tomografijom uočilo da ona seže sve do bulbusa duodenuma. Nakon provedenog konzervativnog liječenja pankreatitisa abdominalni bolovi regredirali, došlo normalizacije bilo indicirano operativno liječenje. Učinila eksplorativna laparotomija gastrotomija. Ekstirpirao trihobezoar težine 1 kg dužine 25 oblika odljeva lumena želuca početnog dijela Postavila Rapunzel. Dječji psihijatar potvrdio prisutnu trihotilomaniju trihofagiju djevojku uključilo psihoterapijski tretman. Zaključak: Sindrom vrlo rijetko stanje, ali treba biti uključeno diferencijalnu dijagnozu adolescenata. Specifični simptomi trihotilomanije trihofagije kombinaciji nespecifičnim simptomima, poput dugotrajnog bola abdomenu, trebali bi pobuditi sumnju razvoj trihobezoara.
منابع مشابه
Rapunzel syndrome.
A trichobezoar may be confined to the stomach or unusually it may extend from stomach to the small intestine or beyond when it is labelled as Rapunzel syndrome. Bezoars are concretions in the gastrointestinal tract that increase in size by continuous accumulation of non-absorbable food or fibre. Most bezoars in children are trichobezoars from swallowed hair. Repunzal syndrome is an uncommon con...
متن کاملHair apparent: Rapunzel syndrome.
Emily (all names and identifiers have been changed to protect confidentiality) was a 7-year-old girl seen by her pediatrician for a routine annual examination. Although Emily had voiced no complaints, her mother had noted that she had appeared paler than usual. Upon physical examination, her pediatrician noted a nontender palpable mass in the child’s stomach, leading him to order an abdominal u...
متن کاملRapunzel Syndrome: A Rare Postpartum Case
The Rapunzel syndrome describes a disorder in which a significant amount of hair is swallowed, forming a trichobezoar that extends past the stomach into the small intestines. Given the indigestible nature of hair, it subsequently leads to obstruction within the gastrointestinal system. Clinically, patients may present with symptoms of gastrointestinal obstruction, including abdominal complaints...
متن کاملRapunzel syndrome reviewed and redefined.
Rapunzel syndrome is a rare presentation of a trichobezoar, with 24 cases having been reported in literature so far. This syndrome has been reported in 23 female and 1 male patient with a mean age of 10.8 years. The patients commonly present with abdominal pain, nausea, vomiting and signs of obstruction. The distal end of the bezoar may be in the jejunum, ileum or the colon. We evaluate the var...
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ژورنال
عنوان ژورنال: Medicina Fluminensis
سال: 2021
ISSN: ['1847-6864', '1848-820X']
DOI: https://doi.org/10.21860/medflum2021_365351