Rapunzel syndrome causing gastric emphysema and small bowel obstruction

Klipfel, Adam; Kessler, Edmund; Schein, Moshe

doi:10.1067/msy.2003.41

Cited by 25 publications

(14 citation statements)

References 4 publications

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“…Complications by a large eroding or obstructing bezoar additionally include gastric ulceration, obstructive jaundice, acute pancreatitis and gastric emphysema. 15,16 Other malabsorption-related complications include protein-losing enteropathy, iron deficiency, and megaloblastic anemia.…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome: A Comprehensive Review of an Unusual Case of Trichobezoar

Gonuguntla¹,

Joshi²

2009

Clinical Medicine & Research

165

230

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Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome: A Comprehensive Review of an Unusual Case of Trichobezoar

Gonuguntla¹,

Joshi²

2009

Clinical Medicine & Research

165

230

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“…Jaundice and acute pancreatitis due to obstruction of the ampulla of Vater have also been reported [10]. Recurrent trichobezoars are extremely rare [8].…”

Section: Discussionmentioning

confidence: 99%

Rapunzel syndrome — a case report

et al. 2010

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AbstractBezoars are collections of indigestible materials found in the gastrointestinal tract. Rapunzel syndrome is a rare complication of a gastric trichobezoar in which the mass of hair extends through the pylorus into the small bowel and can even reach the colon. A 12-year-old girl with severe pain and a feeling of “fullness” in the upper abdomen was admitted to Pediatric Surgery. Two days before admission, the patient presented with vague abdominal pain, vomiting with a little blood, and black stool. On physical examination she was pale and listless with patchy alopecia. Abdominal examination showed a mobile, palpable mass in the epigastrium. The initial hematocrit was 7,1%, and the erythrocyte count was 1,12×1012 cells per liter. Abdominal ultrasound and computed tomographic (CT) examinations confirmed the presence of a tumor-like formation in stomach. A giant bezoar with ulceration on the back wall of the stomach was verified by upper gastrointestinal endoscopy. Endoscopic extraction was not possible because of the size of the bezoar. Gastrotomy was performed to remove the bezoar that occupied most of the stomach, with a long tail that extended deeply into the duodenum (Rapunzel syndrome). The bezoar, 35 by 10 cm in diameter, was black and consisted of hair and synthetic fibers. Prompt diagnosis and treatment of trichobezoars are important to avoid a possible fatal outcome.

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“…Severe halitosis and patchy alopecia provide clues on physical examination [5]. Complications by a large eroding or obstructing bezoar additionally include gastric ulceration, obstructive jaundice, acute pancreatitis and gastric emphysema [6,7]. Other malabsorption related complications include protein-losing enteropathy, iron deficiency, and megaloblastic anemia.…”

Section: Discussionmentioning

confidence: 99%

Trichobezoar in Paediatrics: An Uncommon Cause of Gastric Outlet Obstruction

Albal¹,

Sadriwala²,

PBansod³

2017

JCR

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Background: A bezoar is persistent, ingested material that collects within the gastrointestinal tract. The most common type of bezoar, a gastric trichobezoar, is made up of human hair and found in the stomach. Patients with trichobezoar often remain asymptomatic for many years. The aim of treatment of trichobezoar is removal of the bezoar and to prevent recurrence. Case Report: A 12 year old girl presented with abdominal pain and vomiting. suffering from trichophagia developing trichobezoar. Ultrasonography was suggestive of partial gastric outlet obstruction and barium swallow was suggestive of bezoar in gastric lumen. Conclusion: Trichobezoar should be considered in young females presenting with non-specific abdominal complaints.

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Rapunzel syndrome causing gastric emphysema and small bowel obstruction

Cited by 25 publications

References 4 publications

Rapunzel Syndrome: A Comprehensive Review of an Unusual Case of Trichobezoar

Rapunzel Syndrome: A Comprehensive Review of an Unusual Case of Trichobezoar

Rapunzel syndrome — a case report

Trichobezoar in Paediatrics: An Uncommon Cause of Gastric Outlet Obstruction

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