A huge gastric trichobezoar presenting with Rapunzel syndrome: A case report

Author:

Lohiya Makhan Lal1,Chandawat Parikshit Singh1ORCID,Rangi Jay Prakash1,Lal Mohan1ORCID,Kulhari Apeksha2ORCID

Affiliation:

1. MS (General Surgery), Department of General Surgery, Government Medical College, Pali, Rajasthan, India

2. Government Medical College, Pali, Rajasthan, India

Abstract

Abstract Trichobezoars are gastrointestinal concretions of ingested hair. These are uncommon conditions that arise in emotionally disturbed or mentally impaired young women during childhood and adolescence. Rapunzel syndrome is rare gastric trichobezoar that extends beyond the pylorus, leading to an intestinal obstruction. Gastric trichobezoars do not manifest symptoms until they are very large. Here, we report a 16-year-old girl with a 5-year history of trichophagia and trichotillomania who suffered from a huge (30 × 7.5 × 6 cm) gastric trichobezoar extending into the duodenum (Rapunzel syndrome) that was successfully addressed by laparotomy, psychiatric treatment, and follow-up.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Surgery

Reference10 articles.

1. The Rapunzel syndrome. Report of a case;G Chir,2016

2. Gastric trichobezoar with Rapunzel syndrome: a case report;J Clin Diagn Res,2016

3. Trichobezoar—a rare cause of abdominal mass and gastric outlet obstruction;GE Port J Gastroenterol,2015

4. A rare giant gastric trichobezoar in a young female patient: case report and review of the literature;Clin Case Rep,2021

5. Rapunzel syndrome: a case of trichobezoar with small bowel complications;Surg J (N Y),2022

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