DOI: http://dx.doi.org/10.18203/2349-2902.isj20183221

A giant trichobezoar with Rapunzel syndrome: a case report

Gaurav Wadhawan, Kailash C. Vyas, Ravi Bhatia

Abstract


Bezoar is a conglomeration of foreign material in the intestinal tract. Trichobezoar is accumulation of hairs in the gastric chamber and Rapunzel Syndrome is accumulation of hairs in the small intestine. This commonly occurs in children and adolescents who are commonly suffering from a psychiatric disorder called Trichotillomania in which they have the habit of eating hairs which is called Trichophagia. Authors are presenting a case of a fourteen years old girl who kept on eating her hairs and nails to develop a giant Trichobezoar with a short segment of Rapunzel Syndrome.

Keywords


Rapunzel syndrome, Trichobezoar, Trichotillomania

Full Text:

PDF

References


Rabie ME, Arishi AR, Khan A, Ageely H, El-Nasr GA, Fagihi M. Rapunzel syndrome: the unsuspected culprit. World J Gastroenterol. 2008;14;1141-3.

Blamm ME, Lichtenstein GR. A new endoscopic technique for the removal of gastric phytobezoars. Gastrointest Endossc. 2000;52;404-8.

Phillips MR, Zaheer S, Drugas GT. Gastric trichobezoar: case report and literature review. InMayo Clinic Proceedings. 1998 Jul 1;73(7):653-6. Elsevier.

Koç O, Yıldız FD, Narcı A, Şen TA. An unusual cause of gastric perforation in childhood: trichobezoar (Rapunzel syndrome). A case report. Europ J Ped. 2009 Apr 1;168(4):495-7.

Al-Wadan AH, Al-Absi M, Al-Saadi AS, Abdoulgafour M. Rapunzel syndrome. Saudi Med J. 2006;27(12):1912-4.

Grant JE, Odlauq BL. Clinical characteristics of trichotillomania with trichophagia. Compr Psychiatry. 2008;49;579-84.

Al Wadan AH, Al Kaff H, Al Senabani J, Al Saadi AS. 'Rapunzel syndrome' trichobezoar in a 7-year-old girl: a case report. Cases J. 2008 Dec;1(1):205.

Durkhure R, Singh JP, Singhal V. Cotton Bezoar-a rare cause of intestinal obstruction: case report. BMC Surg. 2003 Dec;3(1):5.

Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, et al. Rapunzel syndrome reviewed and redefined. Dig Surg. 2007;24:157-61.

Williams RS. The fascinating history of bezoars. The Med J Aus. 1986;145(11-12):613-4.

Coulter R, Antony MT, Bhuta P, Memon MA. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. Southern Med J. 2005 Oct 1;98(10):1042-4.