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[Rapunzel Syndrome Removed with Enteroscopy in a Child]
Sang Woo Chun1, Kunsong Lee1, Youn Joon Park2
1Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea.
Summary
Rapunzel syndrome, a rare hairball condition, can now be treated in children using single-balloon enteroscopy. This minimally invasive endoscopic removal avoids surgery for trichobezoars extending into the jejunum.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
- Gastrointestinal Endoscopy
Background:
- Trichobezoars are hair accumulations, often in the stomach.
- Rapunzel syndrome occurs when trichobezoars extend into the small intestine.
- Traditional treatment for Rapunzel syndrome involves surgical laparotomy.
Observation:
- A 4-year-old female presented with Rapunzel syndrome.
- The trichobezoar extended to the proximal jejunum.
- Endoscopic removal is typically limited to the stomach or duodenum.
Findings:
- A trichobezoar was successfully removed using single-balloon enteroscopy.
- An electrosurgical knife and snare were utilized for removal.
- The procedure was performed under general anesthesia without complications.
Implications:
- Enteroscopy offers a safe and effective alternative to laparotomy for pediatric Rapunzel syndrome.
- Minimally invasive endoscopic removal is feasible for jejunal trichobezoars in children.
- This approach may become the preferred treatment for pediatric Rapunzel syndrome.
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