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São Paulo med. j ; 137(3): 292-294, May-June 2019. tab, graf
Article in English | LILACS | ID: biblio-1020956

ABSTRACT

ABSTRACT CONTEXT: Rapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine. CASE REPORT: A 12-year-old girl who had been diagnosed with celiac disease six years earlier was brought to the department of pediatric gastroenterology because of abdominal distension. A palpable mass was detected. A trichobezoar that stretched to the small intestine was removed surgically. The patient was diagnosed as having anxiety and depressive disorder, and treatment started. Following the treatment, her previous trichophagia completely disappeared. CONCLUSION: Presence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.


Subject(s)
Humans , Female , Child , Trichotillomania/complications , Bezoars/diagnostic imaging , Celiac Disease/complications , Syndrome , Trichotillomania/psychology , Bezoars/surgery , Tomography, X-Ray Computed , Celiac Disease/psychology
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