Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel)

Pérez, Esteban; Santana, J.R. Santana; Garcia, Graziella Patrício Pereira; Mesa, José L.; Hernández, Juan Ramón Hernández; Betancort, Néstor; Nunez, V Rodríguez

doi:10.1016/s0009-739x(05)70931-3

Cited by 20 publications

(16 citation statements)

References 7 publications

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“…This fact was recently confirmed in a literature review performed in 2007 that identified 27 cases of Rapunzel syndrome described between 1968 and 2006 [3]. A few other reports on this syndrome were published in the medical literature after this date [4–6]. …”

Section: Introductionmentioning

confidence: 75%

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The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

Lopes

Oliveira

Pracucho

et al. 2010

Case Reports in Medicine

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Section: Introductionmentioning

confidence: 75%

“…The factor responsible for this syndrome is the compulsion of patients to pull out their own hair and swallow it, processes referred to as trichotillomania and trichophagia, disorders that affect young girls with or without known psychiatric disorders [3, 4]. …”

Section: Introductionmentioning

confidence: 99%

The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

Lopes

Oliveira

Pracucho

et al. 2010

Case Reports in Medicine

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“…Upper gastrointestinal tract obstruction is the most common presentation of a gastric trichobezoar [9]. If a patient is suspected of having a trichobezoar, a thorough history and physical exam should be performed in order to correctly arrive at the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome: A Rare Postpartum Case

Tegene

Foda

Hussain

et al. 2013

Case Reports in Gastrointestinal Medicine

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The Rapunzel syndrome describes a disorder in which a significant amount of hair is swallowed, forming a trichobezoar that extends past the stomach into the small intestines. Given the indigestible nature of hair, it subsequently leads to obstruction within the gastrointestinal system. Clinically, patients may present with symptoms of gastrointestinal obstruction, including abdominal complaints such as pain, nausea, vomiting, and diarrhea. However, due to its broad and nonspecific presenting symptoms, the diagnosis of Rapunzel syndrome warrants consideration once other common etiologies have been excluded. Surgical intervention is often required to remove the abdominal mass. This unusual syndrome is often associated with psychiatric disorders, affecting young women most commonly. In this report, we will discuss a unique case of Rapunzel syndrome in a one-month postpartum woman.

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“…8,9 When the trichobezoar is seen extending from the stomach to various lengths of the intestine is called "Rapunzel Syndrome", for its resemblance to a tail. 10 Majority of cases of trichobezoar present late, due to the low index of suspicion by the physician. Of 131 collected cases of trichobezoar, a palpable abdominal mass was present in (87.7%), abdominal pain (70.2%), nausea and vomiting (64.9%), weakness and weight loss (38.1%), constipation or diarrhoea (32%) and hematemesis (6.1%).…”

Section: Introductionmentioning

confidence: 99%

“…11 The complications of Rapunzel syndrome ranges from attacks of incomplete pyloric obstruction to complete obstruction of the bowel and rarely perforation, peritonitis and mortality. 10 During the past 10 years, in their enthusiasm about modern technical developments, several investigators have undertaken the treatment of large gastric trichobezoars in a so-called minimally invasive manner. The first group 12 subjected a 14-year-old girl to several endoscopic sessions in which attempts to fragment the bezoar first with a water-pick system, later with an Nd: YAG laser failed; extracorporeal shock wave lithotripsy failed as well.…”

Section: Introductionmentioning

confidence: 99%

Trichophagia and Trichobezoar in a 12 Year Old Girl: A Case Report

Madhukar¹,

Taide²,

Verma³

et al. 2014

jemds

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Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the trichobezoar extends past the duodenum it is better referred to as Rapunzel syndrome. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. It is almost exclusively seen in girls. An underlying functional or mechanical obstruction of the gastrointestinal tract (after gastric surgery, gastric dysmotility, for example) may predispose to bezoar formation in rare instances. Although trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomania. We present a clinical case of trichobezoar in a 12 year old female and discuss the most relevant aspects concerning this entity.

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Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel)

Cited by 20 publications

References 7 publications

The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

Rapunzel Syndrome: A Rare Postpartum Case

Trichophagia and Trichobezoar in a 12 Year Old Girl: A Case Report

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