Rapunzel Syndrome: The not-so-fairy tale of a long tail
Background: Rapunzel Syndrome associated with Trichobezoar secondary to a psychiatric illness Trichotillomania, is often a rare diagnosis of Gastrointestinal symptoms, occurring predominantly in young & adolescent females. Clinical Description: We present here a case of such disease in a 12-yea...
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| Format: | Article |
| Language: | English |
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National Board of Examinations
2023-06-01
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| Series: | National Board of Examinations Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://natboard.edu.in/ejournal/articledtl?x=eUtVZkV5SUdQclAzZGxGSFJWcStyUT09 |
| _version_ | 1797364268890324992 |
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| author | Ayush Varshney Narasimha Rao Surendra Kumar Deepak Mittal Karnika Agrawal |
| author_facet | Ayush Varshney Narasimha Rao Surendra Kumar Deepak Mittal Karnika Agrawal |
| author_sort | Ayush Varshney |
| collection | DOAJ |
| description | Background: Rapunzel Syndrome associated with Trichobezoar secondary to a psychiatric illness Trichotillomania, is often a rare diagnosis of Gastrointestinal symptoms, occurring predominantly in
young & adolescent females. Clinical Description: We present here a case of such disease in a 12-year-old female who presented to us with recurrent vomiting & pain abdomen for the last 2 months.
Management & Outcome: On thorough examination & investigations, she was suspected to be a case of trichobezoar on ultrasound abdomen, which was confirmed by upper GI endoscopy. Mass was surgically removed from the patient’s abdomen with a long tail of Rapunzel.
Conclusion: Although trichobezoar is a rare condition, it must be considered in patients with trichotillophagia & abdominal symptoms. Symptomatic trichobezoars are often so large that they are palpable on simple clinical examination as in this case. USG may be inconclusive and endoscopy is confirmative. Undiagnosed or untreated trichobezoar continues to grow in size & weight, resulting in devastating complications, such as gastric ulcers, perforation, or even death. |
| first_indexed | 2024-03-08T16:32:51Z |
| format | Article |
| id | doaj.art-0103d054765743f19a00169bfc18ff45 |
| institution | Directory Open Access Journal |
| issn | 2583-7524 |
| language | English |
| last_indexed | 2024-03-08T16:32:51Z |
| publishDate | 2023-06-01 |
| publisher | National Board of Examinations |
| record_format | Article |
| series | National Board of Examinations Journal of Medical Sciences |
| spelling | doaj.art-0103d054765743f19a00169bfc18ff452024-01-06T02:32:41ZengNational Board of ExaminationsNational Board of Examinations Journal of Medical Sciences2583-75242023-06-011638338610.61770/NBEJMS.2023.v01.i06.008Rapunzel Syndrome: The not-so-fairy tale of a long tailAyush Varshney0Narasimha Rao1Surendra Kumar2Deepak Mittal3Karnika Agrawal4Department of Pediatrics, Maharaja Agrasen Medical, College Agroha, Hisar, HaryanaDepartment of Pediatrics, Maharaja Agrasen Medical, College Agroha, Hisar, HaryanaDepartment of Pediatrics, Maharaja Agrasen Medical, College Agroha, Hisar, HaryanaDepartment of Surgery, Maharaja Agrasen Medical College Agroha, Hisar, HaryanaDepartment of Pediatrics, Maharaja Agrasen Medical, College Agroha, Hisar, HaryanaBackground: Rapunzel Syndrome associated with Trichobezoar secondary to a psychiatric illness Trichotillomania, is often a rare diagnosis of Gastrointestinal symptoms, occurring predominantly in young & adolescent females. Clinical Description: We present here a case of such disease in a 12-year-old female who presented to us with recurrent vomiting & pain abdomen for the last 2 months. Management & Outcome: On thorough examination & investigations, she was suspected to be a case of trichobezoar on ultrasound abdomen, which was confirmed by upper GI endoscopy. Mass was surgically removed from the patient’s abdomen with a long tail of Rapunzel. Conclusion: Although trichobezoar is a rare condition, it must be considered in patients with trichotillophagia & abdominal symptoms. Symptomatic trichobezoars are often so large that they are palpable on simple clinical examination as in this case. USG may be inconclusive and endoscopy is confirmative. Undiagnosed or untreated trichobezoar continues to grow in size & weight, resulting in devastating complications, such as gastric ulcers, perforation, or even death.https://natboard.edu.in/ejournal/articledtl?x=eUtVZkV5SUdQclAzZGxGSFJWcStyUT09trichobezoartrichotillomaniatrichotillophagiarapunzel syndrome |
| spellingShingle | Ayush Varshney Narasimha Rao Surendra Kumar Deepak Mittal Karnika Agrawal Rapunzel Syndrome: The not-so-fairy tale of a long tail National Board of Examinations Journal of Medical Sciences trichobezoar trichotillomania trichotillophagia rapunzel syndrome |
| title | Rapunzel Syndrome: The not-so-fairy tale of a long tail |
| title_full | Rapunzel Syndrome: The not-so-fairy tale of a long tail |
| title_fullStr | Rapunzel Syndrome: The not-so-fairy tale of a long tail |
| title_full_unstemmed | Rapunzel Syndrome: The not-so-fairy tale of a long tail |
| title_short | Rapunzel Syndrome: The not-so-fairy tale of a long tail |
| title_sort | rapunzel syndrome the not so fairy tale of a long tail |
| topic | trichobezoar trichotillomania trichotillophagia rapunzel syndrome |
| url | https://natboard.edu.in/ejournal/articledtl?x=eUtVZkV5SUdQclAzZGxGSFJWcStyUT09 |
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