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Gastric trichobezoar and Rapunzel syndrome: case report of a very rare condition.
- Source :
-
Hippokratia [Hippokratia] 2023 Jan-Mar; Vol. 27 (1), pp. 25-27. - Publication Year :
- 2023
-
Abstract
- Background: Rapunzel syndrome is a rare trichobezoar variant extending from the gastric cavity into the small bowel.<br />Case Description: We report the case of a 22-year-old woman who presented with epigastric pain, nausea, and loss of appetite within the preceding five weeks. She had a palpable mass in the epigastric area with mild localized tenderness. Her abdominal computed tomography scan showed a distended stomach and duodenum, with a heterogeneous solid material, suspicious for a bezoar. Upper gastrointestinal endoscopy revealed a large, densely packed trichobezoar occupying the gastric cavity and extending through the pylorus. Endoscopic removal of the bezoar was unsuccessful. The patient underwent a 6cm-long gastrotomy, and the 150cm-long bezoar, extending from the stomach to the jejunum, was uneventfully removed. The patient was referred postoperatively to a dietitian and psychiatrist for management of her trichotillomania and trichophagia.<br />Conclusion: Trichobezoars are commonly found in young females with a history of trichotillomania and trichophagia and are associated with psychiatric disorders. HIPPOKRATIA 2023, 27 (1):25-27.<br />Competing Interests: None declared by authors.<br /> (Copyright 2023, Hippokratio General Hospital of Thessaloniki.)
Details
- Language :
- English
- ISSN :
- 1108-4189
- Volume :
- 27
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Hippokratia
- Publication Type :
- Report
- Accession number :
- 38533225