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Rapunzel syndrome and gastric perforation
Raed Tayyem1, Imran Ilyas, Iain Smith
1Ayr Hospital, Ayr, UK. rtayyem@yahoo.com
Annals of the Royal College of Surgeons of England
|January 9, 2010
Summary
Rapunzel syndrome, a rare trichobezoar complication, can lead to gastric perforation. This case highlights the diagnostic challenges and management of large bezoars, emphasizing potential mortality if untreated.
Area of Science:
- Gastroenterology and Surgical Case Reports
Background:
- Trichobezoars are rare gastric foreign bodies, predominantly affecting females, often presenting with non-specific symptoms.
- Rapunzel syndrome, a specific type of trichobezoar extending into the small intestine, is exceptionally uncommon.
- Untreated trichobezoars carry a significant risk of severe complications and mortality.
Observation:
- A case of a massive trichobezoar occupying the stomach and duodenum, leading to gastric perforation, is presented.
- The patient's presentation was complicated, underscoring the diagnostic challenges associated with trichobezoars.
Findings:
- This report details a rare instance of Rapunzel syndrome complicated by gastric perforation.
- Literature review on trichobezoar etiology, diagnostic difficulties, and management strategies is summarized.
Implications:
- Early diagnosis and appropriate management are crucial for improving outcomes in trichobezoar cases.
- This case underscores the need for considering trichobezoars in patients with unexplained gastrointestinal symptoms and complications.
- Further research into less invasive treatment modalities for large trichobezoars may be warranted.
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The location of esophageal perforation can vary, occurring anywhere along the esophagus.
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