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Rapunzel syndrome complicated with pancreatitis, intussusception and intestinal perforation

Sana Abourazzak1,2, Ilias Oulidi Jerrar1, Mounia Lakhdar Idrissi3

  • 1Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco abourazzak77@yahoo.fr iliassjerrar@gmail.com.

BMJ Case Reports
|July 5, 2022
PubMed

Insights

A pediatric case highlights Rapunzel syndrome, intussusception, and intestinal perforation in a 4-year-old girl with Helicobacter pylori infection. Early diagnosis and surgical intervention led to a successful recovery.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Report

Background:

  • A 4-year-old girl with chronic abdominal pain and positive Helicobacter pylori stool antigen test presented with severe symptoms.
  • The patient had a history of limited financial resources, potentially impacting prior healthcare access.

Observation:

  • Clinical presentation included pallor, epigastric pain, nausea, and vomiting.
  • Laboratory tests revealed elevated serum lipase levels.
  • Diagnostic investigations identified nodular gastritis, intussusception, and mild acute pancreatitis.

Findings:

  • Surgical exploration uncovered Rapunzel syndrome complicated by intussusception and intestinal perforation.
  • The patient underwent successful surgical management for these combined conditions.

Implications:

  • This case underscores the complex interplay of H. pylori infection, gastric pathology, and gastrointestinal emergencies in children.
  • Prompt surgical intervention is crucial for managing life-threatening complications like intussusception and perforation in pediatric cases.
  • Highlights the importance of considering rare conditions like Rapunzel syndrome in pediatric abdominal emergencies.

Keywords:
Child and adolescent psychiatry (paediatrics)Eating disordersStomach and duodenum

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