Yeliz Çağan Appak1, Duygu Ertan2, Miray Karakoyun1, Gonca Özyurt3, Tunç Özdemir4, Maşallah Baran5. 1. MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey. 2. MD. Pediatric Assistant, Department of Pediatrics, Tepecik Training and Research Hospital, İzmir, Turkey. 3. MD. Assistant Professor, Department of Child and Adolescent Psychiatry, Tepecik Training and Research Hospital, Izmir Katip Celebi University School of Medicine, İzmir, Turkey. 4. MD. Associate Professor, Department of Pediatric Surgery, Tepecik Training and Research Hospital, İzmir, Turkey. 5. MD. Associate Professor, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir Katip Celebi University School of Medicine, İzmir, Turkey.
Abstract
CONTEXT: Rapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine. CASE REPORT: A 12-year-old girl who had been diagnosed with celiac disease six years earlier was brought to the department of pediatric gastroenterology because of abdominal distension. A palpable mass was detected. A trichobezoar that stretched to the small intestine was removed surgically. The patient was diagnosed as having anxiety and depressive disorder, and treatment started. Following the treatment, her previous trichophagia completely disappeared. CONCLUSION: Presence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.
CONTEXT: Rapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine. CASE REPORT: A 12-year-old girl who had been diagnosed with celiac disease six years earlier was brought to the department of pediatric gastroenterology because of abdominal distension. A palpable mass was detected. A trichobezoar that stretched to the small intestine was removed surgically. The patient was diagnosed as having anxiety and depressive disorder, and treatment started. Following the treatment, her previous trichophagia completely disappeared. CONCLUSION: Presence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.
Authors: Lina María López-Álvarez; Milena Andrea Moreno-Castellanos; Ana Milena Álvarez-Acuña; Camila Echeverri-Mejía; Alexis Narvaez-Rojas; Ivan David Lozada-Martínez Journal: Int J Surg Case Rep Date: 2022-09-09