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Dynamic Clamp Methods to Investigate Impaired Neuronal Excitability Associated with Autism

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Rapunzel syndrome.

Eitezaz Ahmed Bashir¹, Samiullah, Muhammad Attique Sadiq

¹Department of Surgery, Foundation University Medical College, Islamabad, Pakistan. eitezazbashir@hotmail.com

Journal of Ayub Medical College, Abbottabad : JAMC

|March 30, 2012

Summary

This summary is machine-generated.

Rapunzel syndrome, a rare condition involving a bezoar extending through the gastrointestinal tract, was diagnosed in an 8-year-old girl. Surgical removal of the large trichobezoar from her stomach and small intestine was successful.

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Area of Science:

Pediatric Gastroenterology
Surgical Case Reports

Background:

Bezoars are indigestible masses in the gastrointestinal tract, with trichobezoars (hair concretions) being common in children.
Rapunzel syndrome is an extremely rare variant where a bezoar extends from the stomach into the small intestine.

Observation:

An 8-year-old girl presented with chronic, vague abdominal pain and epigastric fullness lasting one year.
Investigations revealed a significant trichobezoar.
Surgical exploration (laparotomy) identified a large, foul-smelling trichobezoar occupying the stomach, duodenum, and proximal jejunum.

Findings:

The patient was diagnosed with Rapunzel syndrome, characterized by a gastric and intestinal trichobezoar.
The trichobezoar was successfully removed via gastrostomy.

Implications:

This case highlights the importance of considering rare gastrointestinal conditions like Rapunzel syndrome in pediatric patients with persistent abdominal symptoms.
Early diagnosis and surgical intervention are crucial for managing large trichobezoars and preventing complications.