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Pooled shRNA Screen for Reactivation of MeCP2 on the Inactive X Chromosome

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Recurrent Rapunzel syndrome.

S K Tiwary¹, S Kumar, R Khanna

¹Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna 800014, Bihar, India.

Singapore Medical Journal

|July 7, 2011

Summary

This summary is machine-generated.

Recurrent Rapunzel syndrome, a rare condition involving hairballs in the stomach and intestines, necessitates complete surgical removal and psychiatric care. Long-term follow-up is crucial to prevent its return.

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Area of Science:

Gastroenterology
Surgical Case Reports

Background:

Rapunzel syndrome is a rare condition characterized by gastric trichobezoars extending into the small intestine.
Recurrent cases are exceptionally rare, with limited prior documentation.

Observation:

A 15-year-old female presented with recurrent Rapunzel syndrome.
Two laparotomies over five years were required to remove large trichobezoars (58 cm and 62 cm).
A characteristic hair tuft from the stomach to the jejunum was noted in both instances.

Findings:

The patient experienced recurrence despite initial psychiatric consultation after the first surgery.
Lack of consistent follow-up contributed to the recurrence of the condition.

Implications:

Complete trichobezoar removal is essential for treating Rapunzel syndrome.
Integrated psychiatric care and diligent long-term follow-up are vital for preventing recurrence.
This case highlights the importance of comprehensive management in rare gastrointestinal conditions.