Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome
Bezoars are conglomerations of undigested foreign material retained in the gastrointestinal tract. Trichobezoar is a compact conglomeration of swallowed hair and constitutes less than 6% of all bezoars. Their most frequent location is in the stomach but they may extend through the pylorus into the s...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-09-01
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| Series: | Case Reports in Gastroenterology |
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| Online Access: | https://www.karger.com/Article/FullText/492810 |
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| author | Bertha E. García-Ramírez Carlos M. Nuño-Guzmán Ricardo E. Zaragoza-Carrillo Hugo Salado-Rentería Audrey Gómez-Abarca Jorge L. Corona |
| author_facet | Bertha E. García-Ramírez Carlos M. Nuño-Guzmán Ricardo E. Zaragoza-Carrillo Hugo Salado-Rentería Audrey Gómez-Abarca Jorge L. Corona |
| author_sort | Bertha E. García-Ramírez |
| collection | DOAJ |
| description | Bezoars are conglomerations of undigested foreign material retained in the gastrointestinal tract. Trichobezoar is a compact conglomeration of swallowed hair and constitutes less than 6% of all bezoars. Their most frequent location is in the stomach but they may extend through the pylorus into the small bowel. This condition is known as Rapunzel syndrome. Many patients may remain asymptomatic or present a mild form of the disease characterized by abdominal pain, early satiety, nausea, and vomiting. Complications may manifest as gastric outlet obstruction or bleeding, and intestinal obstruction. A 15-year-old female patient presented with clinical findings of intestinal obstruction. The patient suffered from depressive and anxiety disorders and trichotillomania, although trichophagy could not be assured. Alopecia circumscripta and irregular hair length on the scalp were identified. A computed tomography (CT) scan showed two images highly suggestive of trichobezoars, one in the stomach and the second one causing obstruction at the ileocecal valve. At laparotomy, both a mobile gastric trichobezoar with a tail extending to the duodenum and a trichobezoar causing obstruction at the ileocecal valve were removed. The postoperative course was uneventful. The passage of a detached trichobezoar fragment in a patient with Rapunzel syndrome may cause intestinal obstruction. CT is the preferred image modality for the evaluation of suspected trichobezoars in order to characterize their size and locations, the presence and level of obstruction, and complications such as ischemia or perforation. A case of small-bowel obstruction secondary to ileal trichobezoar in a patient with Rapunzel syndrome is herein reported. |
| first_indexed | 2024-12-10T17:05:09Z |
| format | Article |
| id | doaj.art-894cb29dc6bc407d83555bb0d1042c46 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-10T17:05:09Z |
| publishDate | 2018-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-894cb29dc6bc407d83555bb0d1042c462022-12-22T01:40:29ZengKarger PublishersCase Reports in Gastroenterology1662-06312018-09-0112355956510.1159/000492810492810Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel SyndromeBertha E. García-RamírezCarlos M. Nuño-GuzmánRicardo E. Zaragoza-CarrilloHugo Salado-RenteríaAudrey Gómez-AbarcaJorge L. CoronaBezoars are conglomerations of undigested foreign material retained in the gastrointestinal tract. Trichobezoar is a compact conglomeration of swallowed hair and constitutes less than 6% of all bezoars. Their most frequent location is in the stomach but they may extend through the pylorus into the small bowel. This condition is known as Rapunzel syndrome. Many patients may remain asymptomatic or present a mild form of the disease characterized by abdominal pain, early satiety, nausea, and vomiting. Complications may manifest as gastric outlet obstruction or bleeding, and intestinal obstruction. A 15-year-old female patient presented with clinical findings of intestinal obstruction. The patient suffered from depressive and anxiety disorders and trichotillomania, although trichophagy could not be assured. Alopecia circumscripta and irregular hair length on the scalp were identified. A computed tomography (CT) scan showed two images highly suggestive of trichobezoars, one in the stomach and the second one causing obstruction at the ileocecal valve. At laparotomy, both a mobile gastric trichobezoar with a tail extending to the duodenum and a trichobezoar causing obstruction at the ileocecal valve were removed. The postoperative course was uneventful. The passage of a detached trichobezoar fragment in a patient with Rapunzel syndrome may cause intestinal obstruction. CT is the preferred image modality for the evaluation of suspected trichobezoars in order to characterize their size and locations, the presence and level of obstruction, and complications such as ischemia or perforation. A case of small-bowel obstruction secondary to ileal trichobezoar in a patient with Rapunzel syndrome is herein reported.https://www.karger.com/Article/FullText/492810Rapunzel syndromeTrichobezoarGastric trichobezoarSmall-bowel trichobezoarIntestinal obstructionCase report |
| spellingShingle | Bertha E. García-Ramírez Carlos M. Nuño-Guzmán Ricardo E. Zaragoza-Carrillo Hugo Salado-Rentería Audrey Gómez-Abarca Jorge L. Corona Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome Case Reports in Gastroenterology Rapunzel syndrome Trichobezoar Gastric trichobezoar Small-bowel trichobezoar Intestinal obstruction Case report |
| title | Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome |
| title_full | Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome |
| title_fullStr | Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome |
| title_full_unstemmed | Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome |
| title_short | Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome |
| title_sort | small bowel obstruction secondary to ileal trichobezoar in a patient with rapunzel syndrome |
| topic | Rapunzel syndrome Trichobezoar Gastric trichobezoar Small-bowel trichobezoar Intestinal obstruction Case report |
| url | https://www.karger.com/Article/FullText/492810 |
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