Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited
Trichobezoars are usually formed due to ingestion of hair or hair-like fibres and present with a wide spectrum of clinical manifestations. We report a case of Rapunzel’s syndrome associated with trichotillomania in a 16-year-old girl who presented to our Haematology unit with complaints of fatigue,...
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| Format: | Article |
| Language: | English English |
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Elsevier
2022
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| Online Access: | https://eprints.ums.edu.my/id/eprint/33542/1/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited.pdf https://eprints.ums.edu.my/id/eprint/33542/2/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited%20_ABSTRACT.pdf |
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| author | Zhi, Alex Yang Koh Larry Ellee Nyanti Lim, Sheri Tien, Loong Luk Sing, Andy Ong Tang Tze, Shin Leong Lee, Ping Chew |
| author_facet | Zhi, Alex Yang Koh Larry Ellee Nyanti Lim, Sheri Tien, Loong Luk Sing, Andy Ong Tang Tze, Shin Leong Lee, Ping Chew |
| author_sort | Zhi, Alex Yang Koh |
| collection | UMS |
| description | Trichobezoars are usually formed due to ingestion of hair or hair-like fibres and present with a wide spectrum of clinical manifestations. We report a case of Rapunzel’s syndrome associated with trichotillomania in a 16-year-old girl who presented to our Haematology unit with complaints of fatigue, abdominal distention, and early satiety. Initial evaluation demonstrated anaemia, thrombocytosis, and a left hypochondrial mass suggestive of splenomegaly. However, ultrasound of the abdomen showed no hepatosplenomegaly and blood investigations were not suggestive of haematological malignancy. Not long after, the patient presented to the emergency department with suspected acute abdomen. Computed tomography of the abdomen revealed intraluminal gastric and jejunal masses causing small bowel obstruction. Emergency laparotomy confirmed gastric and jejunal trichobezoars, and subsequent psychiatric evaluation confirmed trichotillomania. Clinicians should consider trichobezoar in the differential diagnosis of abdominal pain and a non-tender ‘spleen-like’ abdominal mass. |
| first_indexed | 2024-03-06T03:18:35Z |
| format | Article |
| id | ums.eprints-33542 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-03-06T03:18:35Z |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | ums.eprints-335422022-07-26T07:54:31Z https://eprints.ums.edu.my/id/eprint/33542/ Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited Zhi, Alex Yang Koh Larry Ellee Nyanti Lim, Sheri Tien, Loong Luk Sing, Andy Ong Tang Tze, Shin Leong Lee, Ping Chew RC581-951 Specialties of internal medicine Trichobezoars are usually formed due to ingestion of hair or hair-like fibres and present with a wide spectrum of clinical manifestations. We report a case of Rapunzel’s syndrome associated with trichotillomania in a 16-year-old girl who presented to our Haematology unit with complaints of fatigue, abdominal distention, and early satiety. Initial evaluation demonstrated anaemia, thrombocytosis, and a left hypochondrial mass suggestive of splenomegaly. However, ultrasound of the abdomen showed no hepatosplenomegaly and blood investigations were not suggestive of haematological malignancy. Not long after, the patient presented to the emergency department with suspected acute abdomen. Computed tomography of the abdomen revealed intraluminal gastric and jejunal masses causing small bowel obstruction. Emergency laparotomy confirmed gastric and jejunal trichobezoars, and subsequent psychiatric evaluation confirmed trichotillomania. Clinicians should consider trichobezoar in the differential diagnosis of abdominal pain and a non-tender ‘spleen-like’ abdominal mass. Elsevier 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/33542/1/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited.pdf text en https://eprints.ums.edu.my/id/eprint/33542/2/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited%20_ABSTRACT.pdf Zhi, Alex Yang Koh and Larry Ellee Nyanti and Lim, Sheri and Tien, Loong Luk and Sing, Andy Ong Tang and Tze, Shin Leong and Lee, Ping Chew (2022) Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited. Radiology Case Reports, 17. pp. 2243-2246. ISSN 1930-0433 https://www.sciencedirect.com/science/article/pii/S193004332200276X?via%3Dihub https://doi.org/10.1016/j.radcr.2022.03.097 https://doi.org/10.1016/j.radcr.2022.03.097 |
| spellingShingle | RC581-951 Specialties of internal medicine Zhi, Alex Yang Koh Larry Ellee Nyanti Lim, Sheri Tien, Loong Luk Sing, Andy Ong Tang Tze, Shin Leong Lee, Ping Chew Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title | Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title_full | Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title_fullStr | Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title_full_unstemmed | Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title_short | Trichobezoar masquerading as massive splenomegaly: Rapunzel’s syndrome revisited |
| title_sort | trichobezoar masquerading as massive splenomegaly rapunzel s syndrome revisited |
| topic | RC581-951 Specialties of internal medicine |
| url | https://eprints.ums.edu.my/id/eprint/33542/1/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited.pdf https://eprints.ums.edu.my/id/eprint/33542/2/Trichobezoar%20masquerading%20as%20massive%20splenomegaly_%20Rapunzel%E2%80%99s%20syndrome%20revisited%20_ABSTRACT.pdf |
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