title: [Gastric perforation due to trichobezoar in an adult (Rapunzel syndrome)].
abstract: Rapunzel syndrome, or trichobezoar, is an uncommon entity and secondary gastric perforation is exceptional. We found no adult cases reported in the literature. Our patient is a teenager with clinical symptoms of epigastric mass and acute abdomen. Radiological study showed pneumoperitoneum and intragastric mass. Personal history revealed depressive syndrome and anxiety. Urgent laparotomy confirmed the diagnosis of gastric perforation due to a trichobezoar completely moulding the gastric chamber. The diagnosis was suspected on the basis of radiologic images but laparotomy was required to confirm it.
authors.affiliation: Servicio de Cirugía General y Digestiva, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Canarias, Spain. eperezalonso@hotmail.com
authors.forename: Esteban
authors.initials: E
authors.lastname: Pérez
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Sántana
authors.forename: Gabriel
authors.initials: G
authors.lastname: García
authors.forename: José
authors.initials: J
authors.lastname: Mesa
authors.forename: Juan Ramón
authors.initials: JR
authors.lastname: Hernández
authors.forename: Néstor
authors.initials: N
authors.lastname: Betancort
authors.forename: Valentín
authors.initials: V
authors.lastname: Núñez
mesh_terms: D000293:Adolescent; D001630:Bezoars / Q000150:complications*; D005260:Female; D006801:Humans; D013270:Stomach; D013275:Stomach Rupture / Q000209:etiology*; D013577:Syndrome