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The Rapunzel syndrome: a hairy tale.
Luca Schuler1, Martina Hodel2, Claudia Stieger3
1Department of Emergency Medicine, Cantonal Hospital of Lucerne, Lucerne, Switzerland. drlucaschuler@gmail.com.
Surgical Case Reports
|March 28, 2023
Summary
Rapunzel syndrome, a rare bezoar variant, requires surgical intervention and psychiatric evaluation. Early diagnosis and multidisciplinary care are crucial for successful management of this gastric and intestinal obstruction.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Trichobezoars are rare gastric masses, often linked to psychiatric conditions.
- Rapunzel syndrome is a specific type of trichobezoar extending into the small intestine, causing obstruction.
Purpose of the Study:
- To present a case report on Rapunzel syndrome.
- To discuss diagnostic and surgical management strategies.
- To highlight the role of psychiatric factors in trichobezoar formation.
Main Methods:
- Case report detailing clinical presentation, diagnosis, and surgical removal.
- Discussion of various surgical approaches.
- Psychiatric evaluation to understand trichophagia.
Main Results:
- Successful surgical removal of a large Rapunzel syndrome bezoar.
- Insights into the psychological underpinnings of trichobezoar development.
Conclusions:
- Emphasizes the necessity of a multidisciplinary team approach.
- Highlights the potential for preventing fatal outcomes in complex cases.
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