title: [A case of Rapunzel syndrome].
abstract: 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.
authors.affiliation: 1st Department of General Surgery, SSK Vakif Gureba Training Hospital, Istanbul, Turkey. ramazaneryilmaz@hotmail.com
authors.forename: Ramazan
authors.initials: R
authors.lastname: Eryilmaz
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sahin
authors.forename: Orhan
authors.initials: O
authors.lastname: Alimoğlu
authors.forename: M Kamil
authors.initials: MK
authors.lastname: Yildiz
mesh_terms: 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