[The Rapunzel syndrome - a case report: trichobezoar as a cause of intestinal perforation]
نویسندگان
چکیده
OBJECTIVE: To report a rare case of a patient with gastric trichobezoar extended through the small bowel, proper to the Rapunzel syndrome. CASE REPORT: Girl at age 7 with history and exams suggestive of peritonitis whose laparotomy demonstrated trichobezoar and jejunal perforation. She also presented alopecia and psychological disorder which were not totally eliminated despite the support given. CONCLUSION: A multidisciplinary view of the patient would have increased the suspicion rate for the pathology and would provide early diagnosis and treatment before complication was evident.
منابع مشابه
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...
متن کاملTrichobezoar presenting with the 'comma sign' in Rapunzel Syndrome: a case report and literature review
INTRODUCTION Rapunzel Syndrome is an uncommon presentation of trichobezoar, involving strands of swallowed hair extending as a tail through the small intestine, beyond the stomach. This was first described in 1968 and until 2003 only thirteen cases have been reported. CASE PRESENTATION A 55-year old man of East Indian descent presented to the surgical team via the emergency department in Trin...
متن کاملRapunzel Syndrome - Trichobezoar in a 9 Year Old Girl: A Case Report
We here report a case of 9 years old girl presented in casualty with an acute abdomen and small bowel obstruction and on laprotomy a large trichobezoar was revealed extending into small intestine along with intussuception. Rapunzel syndrome is a rare but potentially fatal trichobezoar. Trichobezoar, an underdiagnosed entity, has to be considered in the differential diagnosis of abdominal pain a...
متن کاملAn 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...
متن کاملTrichobezoar Causing Gastric Perforation: A Case Report
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Trichobezoars are usually diagnosed on CT scan or upper GI endoscopy. They can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis, ...
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ورودعنوان ژورنال:
- Jornal de pediatria
دوره 76 1 شماره
صفحات -
تاریخ انتشار 2000