Successful laparoscopic extraction of trichobezoar due to Rapunzel syndrome: first reported case in Kuwait

Author:

Al-Mulla Ahmad E1ORCID,Altabeekh Ali1,Al-Jafar Ahmad1,Dashti Shaimaa1

Affiliation:

1. Department of Surgery Farwaniya Hospital, Ministry of Health, Farwaniya, Kuwait

Abstract

Abstract Rapunzel syndrome is a rare condition typically found in young female patients with mental or psychiatric disorders. It manifests as a large trichobezoar extending beyond the pylorus into the small intestine and leads to various adverse conditions. Early diagnosis and prompt management are crucial to avoiding complications. These bezoars are extracted endoscopically, laparoscopically and via open surgery (most common). In this current report, we discuss a successful laparoscopic extraction of a trichobezoar in a 12-year-old girl with acute abdominal pain due to small-bowel obstruction. We describe our technique compared with others’ techniques and include a literature review on this topic.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference15 articles.

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2. Rapunzel syndrome;Lalith;J Clin Diagn Res,2017

3. Rapunzel syndrome of a cotton bezoar in a multimorbid patient;Emre;Clinics (Sao Paulo),2008

4. Case report: Phytobezoar causing gastric outlet obstruction as a late complication after biliopancreatic diversion with duodenal switch;Zwicky;Obes Surg,2020

5. Trichophagia and trichobezoar in trichotillomania: a narrative mini-review with clinical recommendations;Snorrason;J Obsessive Compuls Relat Disord,2021

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