Related Experiment Video
Updated: Apr 8, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
1.4K
Rapunzel syndrome presenting as jejuno-jejunal intussusception
Sanjay Marwah1, Siddharth Pandey, Abhishek Raj
1Post Graduate Institute of Medical Sciences-Surgery, 2452, Sector I, HUDA Rohtak, Rohtak, 124001, Haryana, India, drsanjay.marwah@gmail.com.
Clinical Journal of Gastroenterology
|June 26, 2015
Summary
Rapunzel syndrome, a gastric trichobezoar extending into the small intestine, rarely causes jejuno-jejunal intussusception. This case highlights the first preoperative diagnosis of this rare complication.
Area of Science:
- Gastroenterology and Surgical Case Reports
- Medical Imaging and Diagnostics
Background:
- Rapunzel syndrome is a rare condition characterized by a gastric trichobezoar with an extension into the small intestine.
- Intussusception secondary to trichobezoars is exceptionally uncommon, with intestinal obstruction being a rare presenting feature.
Observation:
- A young female presented with acute abdominal pain and bilious vomiting.
- Contrast-enhanced CT revealed a gastric trichobezoar with extension into the small intestine and jejuno-jejunal intussusception.
Findings:
- Surgical exploration confirmed a large gastric trichobezoar and three segments of jejuno-jejunal intussusception.
- Complete removal of the bezoar's tail successfully resolved the intussusception.
Implications:
- This case represents the first documented instance of preoperative diagnosis of jejuno-jejunal intussusception in Rapunzel syndrome.
- Highlights the importance of advanced imaging in diagnosing rare complications of trichobezoars.
- Contributes to the understanding of the clinical spectrum and diagnostic possibilities of Rapunzel syndrome.
Related Concept Videos
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
1.1K
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:
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:
1.1K
01:30Other Disorders of Digestive System
1.7K
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
1.7K
01:26Esophageal Strictures-II: Clinical Features and Management
958
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
958
01:30Esophageal Strictures-I: Introduction
1.2K
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
1.2K
01:28Esophageal Perforation-II: Clinical Manifestations and Management
999
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
999
01:22Esophageal Perforation-I: Introduction
784
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
784