Trichobezoar: A Case report

Singh, Harpreet; Agrawal, Malika; Singh, Naveen Kumar; Kaul, Roop Kishan; Ilahi, Ikram

doi:10.21276/aimdr.2017.3.2.sg1

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The most common reason for recurrence is the loss to follow-up the patients and, therefore, did not complete their psychological treatment. Hence, professional psychotherapy and long-term follow-up are critical after surgical removal of trichobezoars [15,16].…”

Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Rapunzel Syndrome Without Intestinal Obstruction With Review of Literature

Garg¹,

Verma²,

Garg³

et al. 2020

IJCR

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ezoars are defined as the accumulation of concretions of human or vegetable fibers in the gastrointestinal tract. The word bezoar is derived from the Arabic word "bedzehr" or the Persian word "Padzhar" meaning protecting against poison [1]. There are different types of bezoars depending on their composition such as trichobezoars, phytobezoars, lithobezoars, pharmacobezoars, lactobezoars, plasticobezoars, and cottonbezoars [2]. Trichobezoar is the most common type of bezoar. These consist of hairballs or hair-like fibers caused by swallowing hair or other indigestible materials. These are associated with underlying psychiatric disorders and commonly present in adolescents during the 2 nd decade of life in females. It mainly occurs in females due to the presence of traditional long hairs. Human hairs are resistant to digestion and peristalsis due to their smooth surface and thus accumulate between the mucosal folds of the stomach. Over time, the impaction of hair with mucus and food leads to the formation of trichobezoar usually in the gastric body and hence found prepylorically [3,4]. Some of them may pass through the pylorus into the duodenum, jejunum, ileum, and even into the colon. This condition is termed as Rapunzel syndrome [5]. We are reporting here the case of Rapunzel syndrome in a 24-year-old girl with trichobezoar with a long tail that passed into the jejunum. CASE REPORT A 24-year-old unmarried girl presents with a complaint of pain in the upper abdomen for 2 years. The pain was mild, dull, and colicky in nature, and there were no aggravating or relieving factors. There was a history of early satiety, chronically decreased appetite, and weight loss for the past 6 months. There was the fullness of the abdomen after meals. There was no history of acid reflux, diarrhea, fever, melena, hematemesis, or any recent illness. The patient's mother admitted that she had a history of pulling out of her hair and swallowing them when she was 10 years old. The patient also had a history of slightly retarded mental development. The patient had poor academic performance and unable to do simple calculations; however, she was able to do her household work properly. The patient had a history of seizures 2 years back, but she was currently not on any antiepileptic or antipsychotic medications. Her menstrual history was normal. On examination, the patient was thin built, malnourished, and was looking anxious. Her height was 140 cm and weight was 40 kg. Her vitals were as follows: Pulse rate 96/min, respiratory rate 16/min, and blood pressure 108/70 mmHg. She had no patchy alopecia or halitosis. There was no evidence of jaundice or lymphadenopathy. The abdominal examination revealed a hard, non-tender, well-defined, and palpable mass from the epigastrium to the periumbilical region measuring approximately 8×6 cm. The mass was non-pulsatile and was moving well with respiration.

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Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Rapunzel Syndrome Without Intestinal Obstruction With Review of Literature

Garg¹,

Verma²,

Garg³

et al. 2020

IJCR

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show abstract

“…Obesity is an excessive accumulation of body fat. Overeating, consumption of food rich in fats and sugars combined with poor and unhealthy lifestyle, and less physical activity results in weight gain and subsequently leads to obesity (Singh et al, 2011). Obesity has turned into an outstanding overall medical issue.…”

Section: Discussionmentioning

confidence: 99%

Effect of green tea on obesity and serum lipid profiles in both normo- and hyper-cholesterolemic rabbits

AL-Jaff¹

2019

ijrps

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Obesity has been linked with several comorbidities like cardiovascular disorders, diabetes, and hypertension. Weight reduction is directly associated with the consumption of green tea. So, with this premise of background, we evaluated the potential of green tea consumption on obesity and serum lipid profiles in both normo- and hyper-cholesterol emic rabbits. Sixty New Zealand white rabbits (age: 6-8 months; weight 1.5-2 kg) were used for this experiment. Rabbits were randomized and equally divided into three different groups. Group I (control group) received 10 ml/kg of distilled water twice daily, Group II received high cholesterol diet twice daily, and Group III received high cholesterol diet along with green tea solution 10 ml/kg, twice daily for 90 days. Weight measurements and serum analysis were conducted on Day 0 and day 90. For the obtained data, SPSS analysis was performed (SPSS 21). A significant increment of body weight was observed in control (1.97 ± 0.12 vs 2.87 ± 0.21, p<0.0001) and high cholesterol groups (1.91 ± 0.23 vs 3.13 ± 0.31, p<0.0001) at Day 90 when compared with Day 0. Though the results were not significant, there was a reduction in the body weight in the green tea group (2.20 ± 1.47 vs 1.72 ± 0.22) at Day 90 when compared with Day 0. Consumption of green tea for 90 days resulted in weight loss and inhibition of the increase in the levels of TC, LDL, and VLDL. So, green tea can act as a natural food supplement for the management of obesity and dyslipidemia.

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Trichobezoar: A Case report

Cited by 2 publications

References 13 publications

A Rare Presentation of Rapunzel Syndrome Without Intestinal Obstruction With Review of Literature

A Rare Presentation of Rapunzel Syndrome Without Intestinal Obstruction With Review of Literature

Effect of green tea on obesity and serum lipid profiles in both normo- and hyper-cholesterolemic rabbits

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