Rapunzel syndrome: how to orient the diagnosis
Rapunzel syndrome is a rare form of tricobezoar with a tail extending from the stomach into the small bowel; surgical removal is generally required. About 60 cases have been reported and described in the literature since 1968. We present the case of an 8-year-old girl who, during the course of a gen...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2018-06-01
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| Series: | Pediatric Reports |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/pr/article/view/7689 |
| _version_ | 1818667534321188864 |
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| author | Enrico Finale Piergiorgio Franceschini Cesare Danesino Michelangelo Barbaglia Andrea Guala |
| author_facet | Enrico Finale Piergiorgio Franceschini Cesare Danesino Michelangelo Barbaglia Andrea Guala |
| author_sort | Enrico Finale |
| collection | DOAJ |
| description | Rapunzel syndrome is a rare form of tricobezoar with a tail extending from the stomach into the small bowel; surgical removal is generally required. About 60 cases have been reported and described in the literature since 1968. We present the case of an 8-year-old girl who, during the course of a genetic consultation, was initially assigned with a clinical suspicion of ectodermal dysplasia. Surgical intervention, which resulted in the extraction of a tricobezoar of enormous size and extension, led us to the diagnosis of Rapunzel syndrome. The possibility of a tricobezoar should be considered in all cases of adolescent patients who present signs of intestinal occlusion or sub-occlusion, suffer from psychiatric disorders, and have a history of trichotillomania. Endoscopic methodology, medical imaging and clinical diagnostics are fundamental for a differential diagnosis. Psychiatric follow-up is advised to prevent recurrence. |
| first_indexed | 2024-12-17T06:21:57Z |
| format | Article |
| id | doaj.art-c6aa950ccb16476a971145ee6575d809 |
| institution | Directory Open Access Journal |
| issn | 2036-749X 2036-7503 |
| language | English |
| last_indexed | 2024-12-17T06:21:57Z |
| publishDate | 2018-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-c6aa950ccb16476a971145ee6575d8092022-12-21T22:00:23ZengMDPI AGPediatric Reports2036-749X2036-75032018-06-0110210.4081/pr.2018.76893970Rapunzel syndrome: how to orient the diagnosisEnrico Finale0Piergiorgio Franceschini1Cesare Danesino2Michelangelo Barbaglia3Andrea Guala4Maternal-Child Department, ASL Verbano-Cusio-Ossola; Pediatrics Department, Castelli Hospital, VerbaniaUniversity of TurinDepartment of Molecular Medicine, University of PaviaMaternal-Child Department, ASL Verbano-Cusio-OssolaMaternal-Child Department, ASL Verbano-Cusio-OssolaRapunzel syndrome is a rare form of tricobezoar with a tail extending from the stomach into the small bowel; surgical removal is generally required. About 60 cases have been reported and described in the literature since 1968. We present the case of an 8-year-old girl who, during the course of a genetic consultation, was initially assigned with a clinical suspicion of ectodermal dysplasia. Surgical intervention, which resulted in the extraction of a tricobezoar of enormous size and extension, led us to the diagnosis of Rapunzel syndrome. The possibility of a tricobezoar should be considered in all cases of adolescent patients who present signs of intestinal occlusion or sub-occlusion, suffer from psychiatric disorders, and have a history of trichotillomania. Endoscopic methodology, medical imaging and clinical diagnostics are fundamental for a differential diagnosis. Psychiatric follow-up is advised to prevent recurrence.https://www.pagepress.org/journals/index.php/pr/article/view/7689Rapunzel syndromediagnosis. |
| spellingShingle | Enrico Finale Piergiorgio Franceschini Cesare Danesino Michelangelo Barbaglia Andrea Guala Rapunzel syndrome: how to orient the diagnosis Pediatric Reports Rapunzel syndrome diagnosis. |
| title | Rapunzel syndrome: how to orient the diagnosis |
| title_full | Rapunzel syndrome: how to orient the diagnosis |
| title_fullStr | Rapunzel syndrome: how to orient the diagnosis |
| title_full_unstemmed | Rapunzel syndrome: how to orient the diagnosis |
| title_short | Rapunzel syndrome: how to orient the diagnosis |
| title_sort | rapunzel syndrome how to orient the diagnosis |
| topic | Rapunzel syndrome diagnosis. |
| url | https://www.pagepress.org/journals/index.php/pr/article/view/7689 |
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