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Rapunzel and pregnancy.

Mohamed Salem1, Ragai Fouda, Usama Fouda

  • 1Internal Medicine Department, Cairo University, Egypt.

Southern Medical Journal
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

This case study highlights a rare instance of Rapunzel syndrome, a gastric trichobezoar causing bowel obstruction, complicated by pancreatitis in a postpartum woman. It is the first such case reported after childbirth.

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Rapunzel syndrome, characterized by a gastric trichobezoar with an intestinal tail, is a rare cause of gastrointestinal obstruction.
  • While trichobezoars are associated with psychiatric disorders, this case involves a young woman during pregnancy and postpartum.

Observation:

  • A 22-year-old woman presented with epigastric pain and vomiting during pregnancy and postpartum.
  • Initial diagnosis suggested pancreatitis, but a subsequent gastrotomy revealed a large gastric trichobezoar extending into the duodenum.

Findings:

  • The patient had a gastric trichobezoar with a tail extending to the duodenum, consistent with Rapunzel syndrome.
  • This rare condition was complicated by pancreatitis, a finding infrequently reported with trichobezoars.

Implications:

  • This case represents one of the few documented instances of Rapunzel syndrome complicated by pancreatitis.
  • It is the first reported case of Rapunzel syndrome with pancreatitis occurring in the postpartum period, highlighting potential diagnostic challenges.
  • The case underscores the importance of considering unusual gastrointestinal pathologies in pregnant and postpartum women presenting with abdominal symptoms.