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A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers
Published on: August 21, 2021
[Gastric perforation due to trichobezoar in an adult (Rapunzel syndrome)]
Esteban Pérez1, José Ramón Sántana, Gabriel García
1Servicio de Cirugía General y Digestiva, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Canarias, Spain. eperezalonso@hotmail.com
Abstract:
Rapunzel syndrome, or trichobezoar, is an uncommon entity and secondary gastric perforation is exceptional. We found no adult cases reported in the literature. Our patient is a teenager with clinical symptoms of epigastric mass and acute abdomen. Radiological study showed pneumoperitoneum and intragastric mass. Personal history revealed depressive syndrome and anxiety. Urgent laparotomy confirmed the diagnosis of gastric perforation due to a trichobezoar completely moulding the gastric chamber. The diagnosis was suspected on the basis of radiologic images but laparotomy was required to confirm it.
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