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Behavioral And Physiological Analysis In A Zebrafish Model Of Epilepsy

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A Case Report: Large Trichobezoar Causing Rapunzel Syndrome.

Soon Chul Kim¹, Seong Hun Kim, Sun Jun Kim

¹From the Department of Pediatrics (SCK, SJK) and Department of Internal Medicine (SHK), Chonbuk National University Medical School and Hospital, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical research Institute of Chonbuk National University Hospital, Jeonju, Korea.

|June 4, 2016

Summary

This summary is machine-generated.

Rapunzel syndrome, a rare condition involving gastric trichobezoars, requires surgical removal for large cases. This study details a successful endoscopic cauterization and surgical extraction of a large gastric bezoar.

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Area of Science:

Pediatric Surgery
Gastroenterology
Medical Case Reports

Background:

Rapunzel syndrome is a rare condition characterized by a gastric trichobezoar with an intestinal extension.
It primarily affects children and can lead to severe complications.

Observation:

A case of an 8-year-old girl presenting with Rapunzel syndrome and a large gastric trichobezoar (7 × 7 × 30 cm) is described.
The patient had a history of trichotillomania (hair pulling) and trichophagia (hair eating).

Findings:

While small bezoars can be managed endoscopically, large ones, typical in Rapunzel syndrome, often necessitate open surgery.
This case successfully utilized endoscopic precutting and argon plasma cauterization to reduce the bezoar size before surgical extraction.

Implications:

This approach demonstrates a viable strategy for managing large gastric trichobezoars in Rapunzel syndrome.
Combining endoscopic techniques with surgery may offer a less invasive option for complex bezoar cases.