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: L Thayumanavan, K Rajkumar, M Kannan
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.jdeonline.in/article.asp?issn=0976-5042;year=2013;volume=4;issue=1;spage=19;epage=21;aulast=Thayumanavan
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author L Thayumanavan
K Rajkumar
M Kannan
author_facet L Thayumanavan
K Rajkumar
M Kannan
author_sort L Thayumanavan
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.
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spelling doaj.art-849399da1ae542d484a2272c599c571e2022-12-21T19:01:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502013-01-01411921Rapunzel syndrome - A rare form of trichobezoar: A case reportL ThayumanavanK RajkumarM KannanHair 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.http://www.jdeonline.in/article.asp?issn=0976-5042;year=2013;volume=4;issue=1;spage=19;epage=21;aulast=ThayumanavanTrichobezoar - Trichillotomania - Trichophagia - Psychiatric disorder - Upper GI obstruction - Surgery
spellingShingle L Thayumanavan
K Rajkumar
M Kannan
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.jdeonline.in/article.asp?issn=0976-5042;year=2013;volume=4;issue=1;spage=19;epage=21;aulast=Thayumanavan
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AT krajkumar rapunzelsyndromearareformoftrichobezoaracasereport
AT mkannan rapunzelsyndromearareformoftrichobezoaracasereport