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[Rapunzel syndrome: Radiological diagnosis].

Yhessica Yhazmin Lara-Zavala1, Inés Álvarez-Ciaca2, Álvaro José Montiel-Jarquin3

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Summary

Rapunzel syndrome, a rare hairball condition, can cause severe gastrointestinal obstruction. Surgical removal of the trichobezoar is the definitive treatment for this condition.

Keywords:
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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Rapunzel syndrome is a rare condition characterized by a trichobezoar extending from the stomach into the small intestine.
  • It is primarily diagnosed in women and often linked to trichophagia (hair ingestion).
  • Clinical manifestations include weight loss and chronic intestinal obstructive symptoms.

Observation:

  • A 13-year-old female presented with significant weight loss, constipation, vomiting, and abdominal pain.
  • Physical examination revealed a palpable epigastric mass and decreased peristalsis.
  • Imaging studies, including X-ray, ultrasound, and CT scan, confirmed a gastric trichobezoar with intestinal extension.

Findings:

  • Exploratory laparotomy revealed a large trichobezoar occupying the stomach and extending into the duodenum and jejunum.
  • The trichobezoar was successfully removed surgically.
  • The patient experienced a favorable postoperative recovery.

Implications:

  • Contrast imaging studies are crucial for diagnosing Rapunzel syndrome.
  • Surgical intervention is the primary treatment modality for Rapunzel syndrome.
  • This case highlights the importance of prompt diagnosis and surgical management of trichobezoars.