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Related Experiment Videos

[Trichobezoar-Rapunzel syndrome--case report].

B Rousková1, J Kalousová, M Vyhnánek

  • 1Klinika dĕtské chirurgie 2. LF UK a FN Motol, Praha. blanka.rouskova@lfmotol.cuni.cz

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|December 24, 2004
PubMed
Summary

Rapunzel syndrome, a rare condition involving a gastric trichobezoar extending into the small intestine, was successfully treated in a 13-year-old girl. This case highlights the importance of considering bezoars in pediatric gastrointestinal obstruction.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Psychiatry

Background:

  • Bezoars are masses of indigestible material in the gastrointestinal tract, commonly in the stomach.
  • Trichobezoars, formed from ingested hair, are rare and often associated with psychiatric disorders.
  • Rapunzel syndrome is a specific type of gastric trichobezoar with an intestinal extension.

Observation:

  • A 13-year-old girl presented with mild abdominal pain.
  • A large gastric trichobezoar (700g, 24x16x10cm) with an intestinal tail was identified.
  • The patient had a history suggestive of psychiatric conditions.

Findings:

  • Surgical laparotomy successfully removed the massive gastric trichobezoar.
  • Histopathological examination confirmed the diagnosis of trichobezoar.

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  • Post-operative recovery was uneventful.
  • Implications:

    • This case underscores the potential for severe gastrointestinal complications from trichobezoars, even with minimal initial symptoms.
    • Early recognition and surgical intervention are crucial for managing Rapunzel syndrome.
    • Multidisciplinary management involving gastroenterologists, surgeons, and psychiatrists is recommended for optimal patient outcomes.