Journals / İnönü Üniversitesi Tıp Fakültesi Dergisi / 2006 / Cilt: 13 - Sayı: 4

A rare form of tricohbezoar: A case of rapunzel syndrome

Trikobezoarın nadir bir formu: Rapunzel sendromu olgu sunumu

Pages
283–285
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A subsequent psychiatric consultation revealed trichotillomania and depression.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The Rapunzel syndrome consists of gastric trichobezoar with tail, epigastric mass and the gastrointestinal symptoms.
📊
Key Findings & Data:A 12-year-old girl, underwent an operation for abdominal pain, nausea, vomiting, anemia and epigatsric mass, was presented in this study.
💡
Conclusion & Impact:A subsequent psychiatric consultation revealed trichotillomania and depression.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The Rapunzel syndrome consists of gastric trichobezoar with tail, epigastric mass and the gastrointestinal symptoms. A 12-year-old girl, underwent an operation for abdominal pain, nausea, vomiting, anemia and epigatsric mass, was presented in this study. Giant tricohobezoar with long tail was totally removed by laparotomy and single gastrotomy. Postoperative period was uneventful. A subsequent psychiatric consultation revealed trichotillomania and depression.

Özet

Rapunzel sendromu, dürtüsel saç çekme ve yeme alışkanlığı nedeni ile midede oluşan trikobezoarın duodenum ve jejunuma uzanması ile birlikte karında kitle ve gastrointestinal semptomların görüldüğü nadir bir durumdur. Bu yazıda, bulantı, kusma, karın ağrısı, anemi ve epigastrik kitle nedeni ile opere edilen, 12 yaşındaki bir kız hasta sunuldu. Laparotomide, anterior gastrotomi yapılarak dev trikobezoar ve uzun kuyruğu tamamen çıkarıldı. Ameliyat sonrası dönemde sorunsuz iyileşen hastada, psikiyatrik değerlendirmede, dürtüsel saç çekme (trikotillomani) ve depresyon olduğu tespit edildi.

🔖

Cite This Article

ATEŞ, M. (2022). A rare form of tricohbezoar: A case of rapunzel syndrome. İnönü Üniversitesi Tıp Fakültesi Dergisi, Cilt: 13 - Sayı: 4, 283–285. https://ajindex.com/articles/548721

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Dalshaug GB, Wainer S, Hollaar GL. The rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report. Jpediatr Surg 1999
  2. 80 2. Escamilla C, Robles-Camplos R, Parrilla-Paricio P.Intestinal obstruction and bezoars. J Am Coll Surg 1994
  3. 5 3. Balik E, Ulman I, Taneli C, Demircan M. The Rapunzel syndrome: a case report and review of the literature Eur J Pediatr Surg 1993
  4. 3 4. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An Unusual complication of intestinal bezoar. Surgery 1968
  5. 43 5. Ventura DE, Herbella FAM, Schettini ST, Delmonte C.Rapunzel syndrome with a fatal outcome in a neglected child. J pediatr Surg 2005
  6. 7 6. Frey AS, McKee M, King RA, Martin A. Hair apparent: Rapunzel syndrome Am J Psych 2005
  7. 6 7. Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y: Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998
  8. 663–5 8. Alsafwah S, Alzein M: Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointest Endosc 2000
  9. 784–6 9. Miltenberger RG, Rapp JT, Long ES: Habit reversal treatment manual for trichotillomania, in Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders: Behavioral Approaches to Analysis and Treatment. Edited by Woods D, Miltenberger RG. Boston, Kluwer Academic, 2001, pp 170–95 10. O’Sullivan RL, Mansueto CS, Lerner EA, Miguel EC. Characterization of trichotillomania: a phenomenological model with clinical relevance to obsessive-compulsive spectrum disorders. Psychiatr Clin North Am 2000
  10. 604 11. Bouwer C, Stein DJ. Trichobezoars in trichotillomania:case report and lietrture overview. Psychosom Med 1998
  11. 60 12. McGehee FT, Buchanan GR. Trichophagia and trichobezoar: etiologic role of iron deficiency. J Pediatric 1980
  12. Dec:946-8 13. Oski FA: The nonhemotologic manifestation of iron deficiency, Am J Dis Child 1973
  13. 315 14. Eryılmaz R, Sahin M, Alimoğlu O, Yıldız MK, A case of Rapunzel syndrome. Ulus Travma Derg, 2004
  14. 3 15. Babl FE, Hyams JS, Justinich CJ. Index of suspiction. Case 3. Diagnosis: trichobezoar. Pediatr Rev 1996
  15. 101 16. Goldstein SS,Lewis JH, Rothstein R. Intestinal obstruction due to bezoars. Am J Gastroentrol 1984
  16. 8 17. Malpani A, Ramani SK, Wolverson MK: Role of sonography in trichobezoars. J Ultrasound Med 1988
  17. 661–663 18. Ripolles T, Garcia-AguayoJ, MartinezMJ, Gil P. Gastroentestinal bezoars: sonographic and characteristi