Cogprints

Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl

Krishnanand, D and Chanchalani, R and Dhruv, K (2013) Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl. [Journal (On-line/Unpaginated)]

Full text available as:

[img]
Preview
 PDF - Published Version
Available under License Creative Commons Attribution No Derivatives.
191Kb

Abstract

Background: Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Case Presentation: We present a 13 years old girl with Rapunzel syndrome, where the trichobezoar was not suspected at all especially with negative history of trichophagia. In majority of the cases the diagnosis was made very late in the history of the disease, at a stage where surgery is the only cure for this syndrome. Conclusion: A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symptom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorders

Item Type:Journal (On-line/Unpaginated)
Keywords:Rapunzel syndrome; Trichobezoar
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:9138
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:25 Feb 2014 12:40
Last Modified:25 Feb 2014 12:40

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Vaughan ED, Sawyers JL, Scott HW. The Rapunzel syndrome: an unusual complication of intestinal bezoar. Surgery. 1968;63(2):339–343.

2. Andrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. American Journal of Gastroenterology. 1988;83(5):476–478..

3. Naik S, Gupta V, Naik S, et al. Rapunzel syndrome reviewed and redefined. Digestive Surgery. 2007;24(3):157–161.

4. Pérez E, Sántana JR, García G, et al. Perforación gástrica en adulto por tricobezoar (síndrome de Rapunzel) Cirugía Española. 2005;78(4):268–270.

5. Koç O, Yildiz FD, Narci A, Sen TA. An unusual cause of gastric perforation in childhood: trichobezoar (Rapunzel syndrome). A case report. European Journal of Pediatrics. 2009;168(4):495–497.

6. Mohite PN, Gohil AB, Wala HB, Vaza MA. Rapunzel syndrome complicated with gastric perforation diagnosed on operation table. Journal of Gastrointestinal Surgery. 2008;12(12):2240–2242.

7. Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P, Sharma AK. Rapunzel syndrome reviewed and redefined. Dig Surg 2007;24:157–161. doi: 10.1159/000107716

8. Frey AS, McKee M, King RA, Martin A. Hair Apparent: Rapunzel Syndrome. Am J Psychiatry. 2005;162:242–248. doi: 10.1176/appi.ajp.162.2.242.

9. Memon SA, Mandhan P, Qureshi JN, Shairani AJ. Recurrent Rapunzel syndrome – a case report. Med Sci Monit. 2003;9:CS92–4.

Metadata

Repository Staff Only: item control page

Cogprints is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.