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[Rapunzel's syndrome (trichobezoar)]

W Sánchez Maldonado1, D F Rodríguez Coria, P Luna-Pérez

  • 1Servicio Colon y Recto, Hospital de Oncología, Centro Médico Nacional Siglo XXI, IMSS, México D.F.

Revista De Gastroenterologia De Mexico
|April 7, 1998
PubMed
Summary

Rapunzel syndrome, a rare condition involving a bezoar extending from the stomach to the intestines, requires surgical removal. This case highlights the importance of recognizing this gastrointestinal obstruction in psychiatric patients with trichophagia.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Rapunzel syndrome is a rare gastrointestinal condition characterized by a trichobezoar extending from the stomach into the small or large bowel.
  • It is associated with psychiatric disorders and trichophagia (hair pulling and swallowing).
  • Only six cases have been previously reported in medical literature.

Observation:

  • An additional patient presented with an abdominal mass, later diagnosed with Rapunzel syndrome.
  • The patient exhibited the characteristic features of Rapunzel syndrome, including a gastric trichobezoar with an intestinal extension.
  • The diagnosis was confirmed during the work-up for the abdominal mass.

Findings:

  • The patient underwent exploratory celiotomy and gastrotomy for trichobezoar removal.

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  • Surgical intervention successfully removed the bezoar.
  • The case adds to the limited documented instances of this syndrome.

    • Implications:

    • This case underscores the importance of considering Rapunzel syndrome in patients presenting with abdominal masses and a history of trichophagia.
    • Early diagnosis and surgical intervention are crucial for managing this potentially life-threatening condition.
    • Further research into the pathogenesis and optimal treatment strategies for Rapunzel syndrome is warranted.