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A Case Report: Large Trichobezoar Causing Rapunzel Syndrome.
Medicine (Baltimore) 2016; 95(22):e3745M

Abstract

Rapunzel syndrome is very rare gastric foreign bodies that occur in children. It is a severe condition of a gastric trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large (7 × 7 × 30 cm) gastric trichobezoar. The patient had trichotillomania and trichophagia for 1 year prior to presentation. Ideally, small bezoars are removed through a minimally invasive method, such as endoscopic fragmentation. However, large trichobezoars, including those in Rapunzel syndrome, can only be managed with open surgical extraction, despite the large scars that may result.We report a case of Rapunzel syndrome with a large bezoar that was surgically removed after it was endoscopically cauterized with argon plasma. Endoscopic precutting was used to effectively reduce the size of the bezoar.

Authors+Show Affiliations

From the Department of Pediatrics (SCK, SJK) and Department of Internal Medicine (SHK), Chonbuk National University Medical School and Hospital, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical research Institute of Chonbuk National University Hospital, Jeonju, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27258502

Citation

Kim, Soon Chul, et al. "A Case Report: Large Trichobezoar Causing Rapunzel Syndrome." Medicine, vol. 95, no. 22, 2016, pp. e3745.
Kim SC, Kim SH, Kim SJ. A Case Report: Large Trichobezoar Causing Rapunzel Syndrome. Medicine (Baltimore). 2016;95(22):e3745.
Kim, S. C., Kim, S. H., & Kim, S. J. (2016). A Case Report: Large Trichobezoar Causing Rapunzel Syndrome. Medicine, 95(22), pp. e3745. doi:10.1097/MD.0000000000003745.
Kim SC, Kim SH, Kim SJ. A Case Report: Large Trichobezoar Causing Rapunzel Syndrome. Medicine (Baltimore). 2016;95(22):e3745. PubMed PMID: 27258502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Case Report: Large Trichobezoar Causing Rapunzel Syndrome. AU - Kim,Soon Chul, AU - Kim,Seong Hun, AU - Kim,Sun Jun, PY - 2016/6/4/entrez PY - 2016/6/4/pubmed PY - 2017/2/9/medline SP - e3745 EP - e3745 JF - Medicine JO - Medicine (Baltimore) VL - 95 IS - 22 N2 - Rapunzel syndrome is very rare gastric foreign bodies that occur in children. It is a severe condition of a gastric trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large (7 × 7 × 30 cm) gastric trichobezoar. The patient had trichotillomania and trichophagia for 1 year prior to presentation. Ideally, small bezoars are removed through a minimally invasive method, such as endoscopic fragmentation. However, large trichobezoars, including those in Rapunzel syndrome, can only be managed with open surgical extraction, despite the large scars that may result.We report a case of Rapunzel syndrome with a large bezoar that was surgically removed after it was endoscopically cauterized with argon plasma. Endoscopic precutting was used to effectively reduce the size of the bezoar. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/27258502/A_Case_Report:_Large_Trichobezoar_Causing_Rapunzel_Syndrome_ L2 - http://Insights.ovid.com/pubmed?pmid=27258502 DB - PRIME DP - Unbound Medicine ER -