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Untangling rapunzel syndrome: A unique presentation of gastric trichobezoar.
Int J Surg Case Rep
December 2024
Department of Pathology, Health Plus Diagnostics, Gorakhpur, India.
Introduction And Importance: Rapunzel syndrome is a rare condition that results from trichotillomania (compulsive hair pulling) and trichophagia (hair eating), causing a trichobezoar (hairball) to form This syndrome typically affects young females with psychiatric conditions and presents with symptoms like chronic abdominal pain, nausea, vomiting, and malnutrition. The condition is often diagnosed late, leading to serious gastrointestinal complications.
Case Presentation: A 19-year-old female from a rural community presented with chronic abdominal pain, vomiting, and nutritional deficiencies, including scaly skin and koilonychia.
Rapunzel syndrome associated with trichotillomania and pica causing bowel obstruction in a 4 year-old-female: A rare case report from Nepal.
Int J Surg Case Rep
December 2024
Department of General surgery, Institute of Medicine, TUTH, Kathmandu, Nepal.
Introduction: Bezoars are an accumulation of human or vegetable fibers in the gastrointestinal tract which if extend to the small intestine are referred to as Rapunzel syndrome. They are primarily a psychiatric issue rather than a surgical condition and are associated with trichotillomania, with subsequent trichophagia, pica, and other psychiatric conditions usually seen in adolescent females. This case report describes an extremely rare diagnosis of Rapunzel syndrome in a 4-year-old female.
View Article and Find Full Text PDFEntangled: Rapunzel syndrome with postoperative intussusception.
J Surg Case Rep
October 2024
Nursing and Midwifery Research Department (NMRD), Hamad Medical Corporation, PO Box 3050, Doha, Baladiyat ad Dawhah, Qatar.
Article Synopsis
- - The case discusses a 7-year-old girl diagnosed with Rapunzel syndrome, a rare condition related to hair ingestion, leading to a gastrointestinal blockage called trichobezoar, which was initially difficult to diagnose.
- - Successful surgery was performed to remove the blockage, but the patient experienced complications like jejunojejunal intussusception after the procedure, underscoring the importance of ongoing medical attention and mental health evaluations.
- - The case highlights the link between psychiatric disorders, specifically trichotillomania and trichophagia, and the formation of trichobezoars, suggesting that both immediate post-surgical care and long-term psychiatric support are crucial for improving outcomes and preventing further gastrointestinal issues. *
Small-bowel trichobezoars with intestinal obstruction in children: three case reports and literature review.
Paediatr Int Child Health
August 2024
Department of General Surgery, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Trichobezoars are conglomerates of hair within the gastro-intestinal tract, commonly detected in the stomach, and they can present with the Rapunzel syndrome. Isolated small-bowel trichobezoars are extremely rare. Three female patients presented with abdominal pain and bilious vomiting, and underwent various imaging examinations.
View Article and Find Full Text PDFRapunzel syndrome in children: a retrospective review of ten cases combined with literature review in a tertiary referral center.
Pediatr Surg Int
May 2024
Department of Emergency Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Purpose: Rapunzel syndrome is an uncommon condition in children, and its clinical features remain unclear. This study presents the largest single-center series of pediatric cases to date, with the objective of documenting the clinical characteristics and treatment approaches for children with Rapunzel syndrome.
Methods: A retrospective study was conducted in children with Rapunzel syndrome from 2019 to 2023.
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