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Rapunzel syndrome in a seven year old female.
Turk J Pediatr 2017; 59(5):598-600TJ

Abstract

Rapunzel syndrome is characterized by gastric trichobezoar with extension beyond pylorus. Seven year old female presented with chronic pain abdomen and loss of appetite. Upper gastrointestinal (UGI) endoscopy showed large trichobezoar in the stomach with its tail extending into proximal duodenum. Child underwent exploratory laparotomy and a large trichobezoar measuring 15 cm was removed. Psychiatric opinion revealed that the child was suffering from `trichotillomania`; an obsessive compulsive disorder. UGI endoscopy is the preferred modality for diagnosis, as it delineates the mass and its extent. Small bezoars can be extracted via endoscopy using various disintegrating techniques but large bezoars need surgical management.

Authors+Show Affiliations

Sir Ganga Ram Hospital, Division of Pediatric Gastroenterology, Hepatology and Liver Transplant, New Delhi, India.Sir Ganga Ram Hospital, Division of Pediatric Gastroenterology, Hepatology and Liver Transplant, New Delhi, India.Sir Ganga Ram Hospital, Division of Pediatric Gastroenterology, Hepatology and Liver Transplant, New Delhi, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29745125

Citation

Gupta, Anand, et al. "Rapunzel Syndrome in a Seven Year Old Female." The Turkish Journal of Pediatrics, vol. 59, no. 5, 2017, pp. 598-600.
Gupta A, Kaur J, Wadhwa N. Rapunzel syndrome in a seven year old female. Turk J Pediatr. 2017;59(5):598-600.
Gupta, A., Kaur, J., & Wadhwa, N. (2017). Rapunzel syndrome in a seven year old female. The Turkish Journal of Pediatrics, 59(5), pp. 598-600. doi:10.24953/turkjped.2017.05.016.
Gupta A, Kaur J, Wadhwa N. Rapunzel Syndrome in a Seven Year Old Female. Turk J Pediatr. 2017;59(5):598-600. PubMed PMID: 29745125.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rapunzel syndrome in a seven year old female. AU - Gupta,Anand, AU - Kaur,Jaswinder, AU - Wadhwa,Nishant, PY - 2018/5/11/entrez PY - 2017/1/1/pubmed PY - 2019/1/12/medline KW - Rapunzel KW - trichobezoar KW - trichotillomania SP - 598 EP - 600 JF - The Turkish journal of pediatrics JO - Turk. J. Pediatr. VL - 59 IS - 5 N2 - Rapunzel syndrome is characterized by gastric trichobezoar with extension beyond pylorus. Seven year old female presented with chronic pain abdomen and loss of appetite. Upper gastrointestinal (UGI) endoscopy showed large trichobezoar in the stomach with its tail extending into proximal duodenum. Child underwent exploratory laparotomy and a large trichobezoar measuring 15 cm was removed. Psychiatric opinion revealed that the child was suffering from `trichotillomania`; an obsessive compulsive disorder. UGI endoscopy is the preferred modality for diagnosis, as it delineates the mass and its extent. Small bezoars can be extracted via endoscopy using various disintegrating techniques but large bezoars need surgical management. SN - 0041-4301 UR - https://www.unboundmedicine.com/medline/citation/29745125/Rapunzel_syndrome_in_a_seven_year_old_female_ L2 - http://www.turkishjournalpediatrics.org/abstract.php?id=1772 DB - PRIME DP - Unbound Medicine ER -