A Case of Rapunzel Syndrome / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 127-130, 2013.
Article
in English
| WPRIM
| ID: wpr-156153
ABSTRACT
Rapunzel syndrome refers to a very rare condition in which swallowed hair forms a gastric trichobezoar that has a long tail extending into the small bowel. We describe a case of Rapunzel syndrome in an 8-year-old girl who presented with abdominal mass, epigastric pain and vomiting. Abdominal computed tomography scan showed a markedly dilated stomach filled with coarse heterogeneous materials. Upper gastrointestinal endoscopy revealed a huge hairy ball with a tail extending through the pylorus. We performed a surgical laparotomy and successfully removed a huge trichobezoar with a long tail extending into the middle portion of jejunum. Psychiatric consultation with review showed her past history of trichotillomania and trichophagia 4 years ago. But her parents denied further psychiatric therapy and she was lost to the follow-up. Rapunzel syndrome should be included in the differential diagnosis in children with chronic abdominal pain and trichophagia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parents
/
Pylorus
/
Stomach
/
Trichotillomania
/
Vomiting
/
Bezoars
/
Abdominal Pain
/
Follow-Up Studies
/
Endoscopy, Gastrointestinal
/
Diagnosis, Differential
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
Pediatric Gastroenterology, Hepatology & Nutrition
Year:
2013
Type:
Article
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