The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

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چکیده

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The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

The Rapunzel syndrome is an unusual form of trichobezoar found in patients with a history of psychiatric disorders, trichotillomania (habit of hair pulling) and trichophagia (morbid habit of chewing the hair), consequently developing gastric bezoars. The principal symptoms are vomiting and epigastric pain. In this case report, we describe this syndrome in a young girl.

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An unusual presentation of Rapunzel syndrome, a double impacted trichobezoar

Bezoars are collections of interwoven organic or inorganic matter found in the alimentary canal. Rapunzel syndrome represents a rare presentation of trichobezoar where the tail of main gastric bezoar extends into the lumen of small intestine. We present the case of a 09 year old female child who presented to us as a case of acute intestinal obstruction as a rare manifestation of Rapunzel syndro...

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The Rapunzel syndrome: a rare presentation of trichobezoar.

CASE HISTORY A five-year old girl was admitted in 1985 with an eight-day history of epigastric pain and vomiting. The pain was occasional and not severe. She had lost weight, to 13-1 kg, and was pale and thin. There was a tender epigastric mass. The haemoglobin concentration was 12-8 g/dl. Her mother said the child regularly pulled and ate the sleeves of her cardigans. An ultrasound scan showed...

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Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception.

We present a rare case of stomach trichobezoar complicated with iatrogenic intussusception noted intra-operatively after failed attempt of endoscopic removal in a 13-year-old girl. At presentation, she had gastric outlet obstruction with anaemia. Endoscopy established the diagnosis of trichobezoar. Surgical removal was warranted after failed endoscopic removal. Her postoperative course was unev...

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Rapunzel syndrome: a comprehensive review of an unusual case of trichobezoar.

An unusual form of bezoar extending from the stomach to the small intestine or beyond has been described as Rapunzel syndrome. Bezoars are concretions in the gastrointestinal tract that increase in size by continuous accumulation of non-absorbable food or fibers. Most bezoars in children are trichobezoars from swallowed hair from the head, dolls, or brushes. Trichobezoars typically cause abdomi...

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ژورنال

عنوان ژورنال: Case Reports in Medicine

سال: 2010

ISSN: 1687-9627,1687-9635

DOI: 10.1155/2010/841028