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Rapunzel syndrome.
Vojnosanit Pregl 2012; 69(8):717-20VP

Abstract

INTRODUCTION

Trichobezoars are foreign bodies in gastrointestinal tract, composed of hair. They occur mainly in children and adolescents suffering from trichotillophagia. They commonly occur in the stomach, but as they enlarge over time, they can extend through the pylorus into distal parts of the small intestine resembling a tail. This rare form of trichobezoar is named Rapunzel syndrome.

CASE REPORT

We presented a 19-year-old female patient, who suffered from trichotillomania and trichotillophagia, which led to trichobezoar formation. Intra-abdominal tumour was suspected after initial clinical examination. Abdominal echosonography, endoscopy and abdominal computed tomography (CT scan) in the pre-operational period revealed trichobezoar formation. The patient was operated on and subjected to further psychiatric treatment.

CONCLUSION

Trichobezoar should be differentially diagnostically taken into consideration in younger women with abdominal pain, nausea, vomiting, palpable abdominal mass and psychiatric disorders. Most trichobezoar cases require surgical treatment, whereas the patients need long-term psychiatric treatment and monitoring.

Authors+Show Affiliations

Clinic for Gastroenterology and Hepatology, Clinical Centre Nis, Nis, Serbia. gpetrovicnis@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22924270

Citation

Petrović, Gordana, et al. "Rapunzel Syndrome." Vojnosanitetski Pregled, vol. 69, no. 8, 2012, pp. 717-20.
Petrović G, Nagorni A, Bjelaković G, et al. Rapunzel syndrome. Vojnosanit Pregl. 2012;69(8):717-20.
Petrović, G., Nagorni, A., Bjelaković, G., Stojanov, D. B., Dinić, B. R., & Brzacki, V. (2012). Rapunzel syndrome. Vojnosanitetski Pregled, 69(8), pp. 717-20.
Petrović G, et al. Rapunzel Syndrome. Vojnosanit Pregl. 2012;69(8):717-20. PubMed PMID: 22924270.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rapunzel syndrome. AU - Petrović,Gordana, AU - Nagorni,Aleksandar, AU - Bjelaković,Goran, AU - Stojanov,Daniela Benedeto, AU - Dinić,Biljana Radovanović, AU - Brzacki,Vesna, PY - 2012/8/29/entrez PY - 2012/8/29/pubmed PY - 2012/10/6/medline SP - 717 EP - 20 JF - Vojnosanitetski pregled JO - Vojnosanit Pregl VL - 69 IS - 8 N2 - INTRODUCTION: Trichobezoars are foreign bodies in gastrointestinal tract, composed of hair. They occur mainly in children and adolescents suffering from trichotillophagia. They commonly occur in the stomach, but as they enlarge over time, they can extend through the pylorus into distal parts of the small intestine resembling a tail. This rare form of trichobezoar is named Rapunzel syndrome. CASE REPORT: We presented a 19-year-old female patient, who suffered from trichotillomania and trichotillophagia, which led to trichobezoar formation. Intra-abdominal tumour was suspected after initial clinical examination. Abdominal echosonography, endoscopy and abdominal computed tomography (CT scan) in the pre-operational period revealed trichobezoar formation. The patient was operated on and subjected to further psychiatric treatment. CONCLUSION: Trichobezoar should be differentially diagnostically taken into consideration in younger women with abdominal pain, nausea, vomiting, palpable abdominal mass and psychiatric disorders. Most trichobezoar cases require surgical treatment, whereas the patients need long-term psychiatric treatment and monitoring. SN - 0042-8450 UR - https://www.unboundmedicine.com/medline/citation/22924270/Rapunzel_syndrome_ DB - PRIME DP - Unbound Medicine ER -