[A case of Rapunzel syndrome].
Trichobezoars are concretions of hair casts in the stomach associated with trichotillomania and trichophagia. The condition is termed Rapunzel syndrome when formation of a huge trichobezoar extends to the small bowel, resulting in gastrointestinal obstruction. We present a 19-year-old girl who had complaints of colicky abdominal pain, nausea and vomiting seven years after surgical treatment for a gastric trichobezoar. Gastric endoscopy was performed with an initial diagnosis of recurrent trichobezoar, which revealed a huge one. The patient underwent laparotomy, during which a huge trichobezoar with a long tail was totally removed by an anterior gastrotomy. Following removal of the lesion, the antrum was observed with multiple ulcers secondary to extensive pressure. Postoperative period was uneventful. A subsequent psychiatric consultation revealed depressive personality disorder.
Eryilmaz
Ramazan
R
1st Department of General Surgery, SSK Vakif Gureba Training Hospital, Istanbul, Turkey. ramazaneryilmaz@hotmail.com
Sahin
Mustafa
M
Alimoğlu
Orhan
O
Yildiz
M Kamil
MK
D000328:Adult; D001630:Bezoars / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003866:Depressive Disorder; D003937:Diagnosis, Differential; D005260:Female; D005774:Gastrostomy; D006801:Humans; D013270:Stomach / Q000473:pathology* / Q000601:surgery; D014256:Trichotillomania