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Updated: Mar 19, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception
1University of Malaya, Faculty of Medicine, Department of Surgery, Division of Paediatric & Neonatal Surgery, 50603 Kuala Lumpur, Malaysia. yiyik@um.edu.my.
Abstract:
We present a rare case of stomach trichobezoar complicated with iatrogenic intussusception noted intra-operatively after failed attempt of endoscopic removal in a 13-year-old girl. At presentation, she had gastric outlet obstruction with anaemia. Endoscopy established the diagnosis of trichobezoar. Surgical removal was warranted after failed endoscopic removal. Her postoperative course was uneventful. Detailed history and careful examination disclosed trichotillomania and associated trichophagia. Psychiatric referral was sought with the intention to prevent future recurrence.
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