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[A case of Rapunzel syndrome].
Ulus Travma Acil Cerrahi Derg 2004; 10(4):260-3UT

Abstract

Trichobezoars are concretions of hair casts in the stomach associated with trichotillomania and trichophagia. The condition is termed Rapunzel syndrome when formation of a huge trichobezoar extends to the small bowel, resulting in gastrointestinal obstruction. We present a 19-year-old girl who had complaints of colicky abdominal pain, nausea and vomiting seven years after surgical treatment for a gastric trichobezoar. Gastric endoscopy was performed with an initial diagnosis of recurrent trichobezoar, which revealed a huge one. The patient underwent laparotomy, during which a huge trichobezoar with a long tail was totally removed by an anterior gastrotomy. Following removal of the lesion, the antrum was observed with multiple ulcers secondary to extensive pressure. Postoperative period was uneventful. A subsequent psychiatric consultation revealed depressive personality disorder.

Authors+Show Affiliations

1st Department of General Surgery, SSK Vakif Gureba Training Hospital, Istanbul, Turkey. ramazaneryilmaz@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

tur

PubMed ID

15497067

Citation

Eryilmaz, Ramazan, et al. "[A Case of Rapunzel Syndrome]." Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, vol. 10, no. 4, 2004, pp. 260-3.
Eryilmaz R, Sahin M, Alimoğlu O, et al. [A case of Rapunzel syndrome]. Ulus Travma Acil Cerrahi Derg. 2004;10(4):260-3.
Eryilmaz, R., Sahin, M., Alimoğlu, O., & Yildiz, M. K. (2004). [A case of Rapunzel syndrome]. Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, 10(4), pp. 260-3.
Eryilmaz R, et al. [A Case of Rapunzel Syndrome]. Ulus Travma Acil Cerrahi Derg. 2004;10(4):260-3. PubMed PMID: 15497067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of Rapunzel syndrome]. AU - Eryilmaz,Ramazan, AU - Sahin,Mustafa, AU - Alimoğlu,Orhan, AU - Yildiz,M Kamil, PY - 2004/10/22/pubmed PY - 2005/1/26/medline PY - 2004/10/22/entrez SP - 260 EP - 3 JF - Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES JO - Ulus Travma Acil Cerrahi Derg VL - 10 IS - 4 N2 - Trichobezoars are concretions of hair casts in the stomach associated with trichotillomania and trichophagia. The condition is termed Rapunzel syndrome when formation of a huge trichobezoar extends to the small bowel, resulting in gastrointestinal obstruction. We present a 19-year-old girl who had complaints of colicky abdominal pain, nausea and vomiting seven years after surgical treatment for a gastric trichobezoar. Gastric endoscopy was performed with an initial diagnosis of recurrent trichobezoar, which revealed a huge one. The patient underwent laparotomy, during which a huge trichobezoar with a long tail was totally removed by an anterior gastrotomy. Following removal of the lesion, the antrum was observed with multiple ulcers secondary to extensive pressure. Postoperative period was uneventful. A subsequent psychiatric consultation revealed depressive personality disorder. SN - 1306-696X UR - https://www.unboundmedicine.com/medline/citation/15497067/[A_case_of_Rapunzel_syndrome]_ DB - PRIME DP - Unbound Medicine ER -