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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2020, Number 1

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Rev Biomed 2020; 31 (1)

Systematic review of Rapunzel Syndrome

Janssen-Aguilar R, Rochel-Pérez A, Cuevas-Koh OJ, Santos-Zaldivar KD, Rodríguez-Cuevas M, Inurreta-Díaz MJ, Méndez-Domínguez NI

Language: Spanish
References: 112
Page: 38-57
PDF size: 309.73 Kb.


ABSTRACT

Introduction. Rapunzel syndrome is an unusual type of gastric trichobezoar can be located between the stomach, through the pylorus and extend to the small intestine or right colon. trichobezoars are collections of hair that remain in the stomach due to the ingestion of one or more indigestible materials. trichobezoar, one of the most present bezoars in clinical practice consists of a mass formed by hair due to the ingestion of it, either consciously or unconsciously.
Objective. To compile case reports to identify and analyze little-known aspects of Rapunzel syndrome, as well as patient characteristics along with the best and most documented methods of diagnosis and treatment.
Method. Systematic review employing PubMed, Google Scholar, EBSCO and Scopus databases using as search terms: “Rapunzel syndrome” AND “case report” OR “Clinical case”
Results. A total of 110 case reports from 98 articles were analyzed, finding differences by sex and age. Trichotillomania was distributed without predominance by age group. Differences were identified in the reporting of some clinical manifestations when analyzed by age group, including diarrhea, constipation, vomiting and abdominal pain. Recidivist cases were 9%.
Conclusion. Throughout the review of reported cases, we found that part of the patient’s recovery includes psychiatric treatment; Rapunzel syndrome is not a mental disorder, however, both trichotillomania and pica as factors of it. The entity is more frequent in women than in men, the technique for diagnosis by choice was the endoscopy and the chosen treatment included surgical removal with psychotherapy.


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