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Rapunzel syndrome as a cause of obstruction and intestinal perforation.

Abstract The following is a case report involving a 16 year old female with trichotillomania as an antecedent. This patient presented to the Emergency Room with a chief complaint of early satiety and persistent abdominal pain for the past 3 months. However, recently her abdominal pain has worsened and it is now complicated by nausea and vomiting. The physical exam was notable for epigastric pain on deep palpation. The biochemical analysis and abdominal ultrasound were otherwise unremarkable. An esophagogastroduodenoscopy was subsequently performed where a trichobezoar was discovered. It extended from the gastric fundus to the third portion of the duodenum. A surgical extraction of the trichobezoar was then performed. The trichobezoar was found to be 130 cm in length and 8 cm wide at its most cephalad aspect. It is important to note that they also found five mall perforations throughout the duodenum and jejunum. The patient was discharged with outpatient follow up with psychiatry. In this report we describe the case of a patient with Rapunzel syndrome that was complicated by small bowel perforation and we provide a review of the salient literature concerning this syndrome and its associated complications.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title acta gastroenterologica latinoamericana
Publication Year Start




PMID- 28703567
OWN - NLM
STAT- MEDLINE
DA  - 20170713
DCOM- 20170803
LR  - 20170803
IS  - 0300-9033 (Print)
IS  - 0300-9033 (Linking)
VI  - 46
IP  - 2
DP  - 2016 Jun
TI  - [Rapunzel syndrome as a cause of obstruction and intestinal perforation].
PG  - 114-7
AB  - The following is a case report involving a 16 year old female with
      trichotillomania as an antecedent. This patient presented to the Emergency Room
      with a chief complaint of early satiety and persistent abdominal pain for the
      past 3 months. However, recently her abdominal pain has worsened and it is now
      complicated by nausea and vomiting. The physical exam was notable for epigastric 
      pain on deep palpation. The biochemical analysis and abdominal ultrasound were
      otherwise unremarkable. An esophagogastroduodenoscopy was subsequently performed 
      where a trichobezoar was discovered. It extended from the gastric fundus to the
      third portion of the duodenum. A surgical extraction of the trichobezoar was then
      performed. The trichobezoar was found to be 130 cm in length and 8 cm wide at its
      most cephalad aspect. It is important to note that they also found five mall
      perforations throughout the duodenum and jejunum. The patient was discharged with
      outpatient follow up with psychiatry. In this report we describe the case of a
      patient with Rapunzel syndrome that was complicated by small bowel perforation
      and we provide a review of the salient literature concerning this syndrome and
      its associated complications.
FAU - Rojas, Patricia Guzman
AU  - Rojas PG
FAU - Paredes, Eduar Bravo
AU  - Paredes EB
FAU - Reto, Catherina Pichilingue
AU  - Reto CP
LA  - spa
PT  - Case Reports
PT  - Journal Article
PT  - Review
TT  - Sindrome de Rapunzel como causa de obstruccion y perforacion intestinal.
PL  - Argentina
TA  - Acta Gastroenterol Latinoam
JT  - Acta gastroenterologica Latinoamericana
JID - 0261505
SB  - IM
MH  - Adolescent
MH  - Bezoars/*complications/diagnosis/surgery
MH  - Female
MH  - Humans
MH  - Intestinal Obstruction/diagnosis/*etiology/surgery
MH  - Intestinal Perforation/diagnosis/*etiology/surgery
MH  - Syndrome
MH  - Trichotillomania/*complications
EDAT- 2017/07/14 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/07/14 06:00
PST - ppublish
SO  - Acta Gastroenterol Latinoam. 2016 Jun;46(2):114-7.