Rapunzel syndrome – A rare form of trichobezoar: A case report

Hair ball in the GI tract is called trichobezoar and the Rapunzel syndrome is a very rare form of trichobezoar found in patients with psychiatric illness in whom the ingested hair extends from the stomach into the small intestine. Trichotillomania (hair pulling) and trichophagia (chewing of hair) ar...

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Main Authors: Thayumanavan L., Rajkumar K., Kennan M.
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-01-01
Series:Journal of Digestive Endoscopy
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700265
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author Thayumanavan L.
Rajkumar K.
Kennan M.
author_facet Thayumanavan L.
Rajkumar K.
Kennan M.
author_sort Thayumanavan L.
collection DOAJ
description Hair ball in the GI tract is called trichobezoar and the Rapunzel syndrome is a very rare form of trichobezoar found in patients with psychiatric illness in whom the ingested hair extends from the stomach into the small intestine. Trichotillomania (hair pulling) and trichophagia (chewing of hair) are intrinsic to the development of Rapunzel syndrome. A small number of patients have been reported in whom the gastric trichobezoar has a long tail and extends throughout the small bowel to the cecum. This condition, known as the Rapunzel syndrome, occurs almost exclusively in young girls. We report a case Rapunzel syndrome who presented with history of upper GI obstruction and weight loss. Upper GI endoscopy revealed a large trichobezoar occupying fundus of stomach extending along the whole stomach into duodenum beyond its 3rd part. It was treated successfully with surgery followed by psychiatric consultation. We will review the literature on the subject as well. (J Dig Endosc 2013;4(1):19–21)
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spelling doaj.art-08a43b92cf6c4539a533dad4ef4051f92022-12-21T19:03:03ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502013-01-01040101902110.1055/s-0039-1700265Rapunzel syndrome – A rare form of trichobezoar: A case reportThayumanavan L.0Rajkumar K.1Kennan M.2Department of Medical & Surgical Gastroenterology, Vadamalayan Hospitals Madurai, Tamilnadu, IndiaDepartment of Medical & Surgical Gastroenterology, Vadamalayan Hospitals Madurai, Tamilnadu, IndiaDepartment of Medical & Surgical Gastroenterology, Vadamalayan Hospitals Madurai, Tamilnadu, IndiaHair ball in the GI tract is called trichobezoar and the Rapunzel syndrome is a very rare form of trichobezoar found in patients with psychiatric illness in whom the ingested hair extends from the stomach into the small intestine. Trichotillomania (hair pulling) and trichophagia (chewing of hair) are intrinsic to the development of Rapunzel syndrome. A small number of patients have been reported in whom the gastric trichobezoar has a long tail and extends throughout the small bowel to the cecum. This condition, known as the Rapunzel syndrome, occurs almost exclusively in young girls. We report a case Rapunzel syndrome who presented with history of upper GI obstruction and weight loss. Upper GI endoscopy revealed a large trichobezoar occupying fundus of stomach extending along the whole stomach into duodenum beyond its 3rd part. It was treated successfully with surgery followed by psychiatric consultation. We will review the literature on the subject as well. (J Dig Endosc 2013;4(1):19–21)http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700265trichobezoartrichillotomaniatrichophagiapsychiatric disorderupper gi obstructionsurgery
spellingShingle Thayumanavan L.
Rajkumar K.
Kennan M.
Rapunzel syndrome – A rare form of trichobezoar: A case report
Journal of Digestive Endoscopy
trichobezoar
trichillotomania
trichophagia
psychiatric disorder
upper gi obstruction
surgery
title Rapunzel syndrome – A rare form of trichobezoar: A case report
title_full Rapunzel syndrome – A rare form of trichobezoar: A case report
title_fullStr Rapunzel syndrome – A rare form of trichobezoar: A case report
title_full_unstemmed Rapunzel syndrome – A rare form of trichobezoar: A case report
title_short Rapunzel syndrome – A rare form of trichobezoar: A case report
title_sort rapunzel syndrome a rare form of trichobezoar a case report
topic trichobezoar
trichillotomania
trichophagia
psychiatric disorder
upper gi obstruction
surgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700265
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AT rajkumark rapunzelsyndromearareformoftrichobezoaracasereport
AT kennanm rapunzelsyndromearareformoftrichobezoaracasereport