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Síndrome de Rapunzel pediátrico con intususcepción jejunojejunal manejada quirúrgicamente: un informe de caso raro

Muhammad Irfan¹, Hafiz Abdul Mughees², Muhammad Talha Safdar¹

¹Department of Surgery Shaheed Mohatarma Benazir Bhutto Medical College Lyari Karachi Pakistan.

Clinical case reports

|December 12, 2025

Resumen

El síndrome de Rapunzel, una masa capilar rara en el tracto gastrointestinal, puede causar complicaciones graves en niños. La extirpación quirúrgica temprana y la atención psiquiátrica son vitales para la recuperación y la prevención de recurrencias.

Área de la Ciencia:

Gastroenterología Pediátrica
Informe de Caso Quirúrgico

Sus antecedentes:

Los bezoares son masas indigestibles en el tracto gastrointestinal; los tricobezoares son bolas de pelo, raras en niños.
El síndrome de Rapunzel es una variante grave con extensión gastrointestinal, a menudo relacionada con afecciones psiquiátricas como la tricotilofagia.

Objetivo del estudio:

Informar un caso pediátrico de síndrome de Rapunzel.
Destacar las estrategias de diagnóstico y manejo para esta rara afección.

Principales métodos:

Presentación de caso de una niña de 7 años con dolor abdominal y una masa palpable.
Estudio diagnóstico que incluye análisis de sangre y tomografía computarizada.
Laparotomía quirúrgica con gastrotomía para la extirpación del tricobezoar.

Principales resultados:

Se extirpó un gran tricobezoar (15x7 cm) del estómago, que se extendía hasta el duodeno.
La intususcepción jejunojejunal asociada se redujo espontáneamente durante la cirugía.
Se diagnosticó tricotilomanía y tricotilofagia a la paciente en el postoperatorio.

Conclusiones:

El síndrome de Rapunzel requiere un diagnóstico y una intervención quirúrgica rápidos en pacientes pediátricos.
El seguimiento psiquiátrico integrado es crucial para prevenir la recurrencia y manejar los problemas de comportamiento subyacentes.
La atención multidisciplinaria mejora los resultados en niños con tricobezoares.

Palabras clave:

síndrome de Rapunzel intususcepción jejunojejunal masa abdominal pediátrica cirugía pediátrica tricobezoar complicaciones asociadas a la tricotilomanía

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