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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Intestinal Obstruction II: Pathophysiology01:07

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Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Irritable Bowel Syndrome I: Introduction01:17

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
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Irritable Bowel Syndrome01:23

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DefinitionIrritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by recurrent combinations of abdominal pain, bloating, diarrhea, or constipation.Pathophysiology of irritable bowel syndromeIts pathophysiology is multifactorial, involving disturbances in motility, sensory processing, microbial balance, barrier integrity, and gut–brain communication. These mechanisms interact to produce symptoms that vary across IBS subtypes.Altered Motility...
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Diverticular Disease of the Colon01:27

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Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
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Related Experiment Video

Updated: May 6, 2026

A Mouse Model of Intestinal Partial Obstruction
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Rapunzel syndrome: A rare presentation with multiple small intestinal intussusceptions.

Bidarahalli Krishna Prasanna1, Kuppusamy Sasikumar, Uppinakudru Gurunandan

  • 1Bidarahalli Krishna Prasanna, Kuppusamy Sasikumar, Uppinakudru Gurunandan, Gubbi Shamanna Sreenath, Vikram Kate, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.

World Journal of Gastrointestinal Surgery
|November 2, 2013
PubMed
Summary

Rapunzel syndrome, a rare condition where bezoars extend into the small intestine, was successfully treated in a teenage girl with trichotillomania. Surgical removal of the bezoar and intestinal intussusceptions led to a full recovery.

Keywords:
IntussusceptionRapunzel syndromeTrichobezoarTrichotillomania

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Area of Science:

  • Gastroenterology
  • Psychiatry
  • Surgical Case Report

Background:

  • Bezoars, concretions typically found in the stomach, are associated with psychiatric conditions like trichotillomania and trichophagia.
  • Prolonged gastric bezoars can migrate into the small intestine, causing Rapunzel syndrome.

Purpose of the Study:

  • To report a rare case of Rapunzel syndrome in a 16-year-old girl.
  • To highlight the diagnostic and therapeutic approach for this condition.

Main Methods:

  • Diagnosis was established through abdominal skiagram and endoscopy, revealing a trichobezoar.
  • Surgical intervention via laparotomy was performed for bezoar removal and management of intestinal intussusceptions.

Main Results:

  • A large trichobezoar was removed from the stomach, with its tail extending into the small intestine.
  • Multiple small intestinal intussusceptions were successfully reduced during surgery.
  • The patient experienced a complete recovery post-procedure.

Conclusions:

  • Rapunzel syndrome requires prompt diagnosis and surgical intervention.
  • Psychiatric consultation is crucial for managing underlying conditions and preventing recurrence.