The surgical management of Rapunzel syndrome: a case series and literature review

Fallon, Sara C.; Slater, Bethany J.; Larimer, Emily L.; Brandt, Mary L.; López, Mónica E.

doi:10.1016/j.jpedsurg.2012.07.046

Cited by 89 publications

(83 citation statements)

References 16 publications

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“…They are retained concretions of undigested matter that accumulate within the stomach and may subsequently migrate to distal parts of the GIT [1]. The first report of a trichobezoar dates back to the 18 th century, when Baudamant described a 16-year-old boy with this condition [2]. The word bezoar is derived from the Persian language, which means "protection from the poison."…”

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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Section: Discussionmentioning

confidence: 99%

Trichobezoar in Paediatrics: An Uncommon Cause of Gastric Outlet Obstruction

Albal¹,

Sadriwala²,

PBansod³

2017

JCR

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“…Bahsi geçen predispozan faktörler genellikle fitobezoar oluşumu sıklığını arttırmaktadır 4 . Trikobezoar oluşumunun altında ise sıklıkla trikofaji yatmaktadır ve hastalarda genellikle psikiyatrik problemler bulunmaktadır 10,23,24 . Bu nedenle fitobezoarlar daha sık görülmektedir ve neredeyse tüm bezoar tiplerinin yarısını fitobezoarlar oluşturmaktadır Bezoarlar, intestinal obstrüksiyonun dışında, karın ağ-rısı, bulantı, kusma, kilo kaybı, gastrointestinal sistem kanaması ve mide perforasyonu gibi klinik bulgular verse de azımsanmayacak bir kısmı asemptomatik seyretmektedir.…”

Section: Discussionunclassified

Evaluation of acute intestinal obstruction cases due to gastrointestinal bezoars: 5-year-experience

Tıhan¹,

Dilektaşlı²,

Doğan³

2016

Kafkas J Med Sci

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“…The demographic of patients is almost exclusively young females 2. The condition is invariably associated with underlying behavioural or psychiatric disturbance resulting in trichotillomania and trichophagia 1 2. Delayed presentation with large bezoar masses is not unusual as bezoar formation is an indolent process that takes many months or years before becoming symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Simplified technique for retrieval of large trichobezoars in children

et al. 2015

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Trichobezoars are concentrations of indigestible hair or hair-like fibres within the proximal intestinal tract. In children, delayed presentation with large bezoar masses is not unusual as bezoar formation is an indolent process that takes many months or years before becoming symptomatic. Surgical management is challenging and becomes inevitable once a trichobezoar becomes more established. The standard approach involves a sizeable transverse or midline laparotomy. We describe a less invasive technique for extraction of large gastric trichobezoars via a mini-laparotomy. The key aspect to this technique involves insertion of an Alexis O Wound Protector/Retractor (Applied Medical, Rancho Santa Margarita, California, USA) into the stomach following creation of a secure temporary gastrostomy by hitching gastrotomy edges to the abdominal wall. This simplified approach has advantages of (1) secure and excellent direct intragastric access, (2) shorter operating time and (3) reliable protection of both the wound edges and peritoneal cavity from bezoar contamination.

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The surgical management of Rapunzel syndrome: a case series and literature review

Cited by 89 publications

References 16 publications

Trichobezoar in Paediatrics: An Uncommon Cause of Gastric Outlet Obstruction

Trichobezoar in Paediatrics: An Uncommon Cause of Gastric Outlet Obstruction

Evaluation of acute intestinal obstruction cases due to gastrointestinal bezoars: 5-year-experience

Simplified technique for retrieval of large trichobezoars in children

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