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2011, Number 3

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Evid Med Invest Salud 2011; 4 (3)

Rapunzel syndrome: gastroduodenal trichobezoar

Vásquez-Ciriaco S, Montes de Oca-Duran E, Cárdenas O, De la Chica V, Alcántara-Martínez F, Chapa-Azuela O, Palomeque-López A, Del Villar-García K

Language: Spanish
References: 31
Page: 104-108
PDF size: 189.96 Kb.


ABSTRACT

An unusual form of bezoar extending from the stomach to the small intestine or beyond has been described as Rapunzel syndrome. Bezoars are concretions in the gastrointestinal tract that increase in size by continuous accumulation of non-absorbable food or fibers. Most bezoars in children are trichobezoars from swallowed hair from the head, dolls, or brushes. Trichobezoars typically cause abdominal pain and nausea, but can also present as an asymptomatic abdominal mass, progressing to abdominal obstruction and perforation. Rapunzel syndrome is a common diagnosis in young women. It is predominantly found in emotionally disturbed or mentally retarded youngsters. We present a case of Rapunzel syndrome, a 17-year-old girl with mental retardation who presented with abdominal pain; vomiting and she developed a several complication like intestinal perforation and death.


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