Rapunzel symdrome: gastroduodenal trichobezoar

Authors

  • David Loja Departamento de Medicina Interna, Hospital Arzobispo Loayza, Lima ,Perú
  • José Alvizuri Departamento de Cirugía General, Hospital Arzobispo Loayza, Lima, Perú
  • Maricela Vilca Centro Médico Quirúrgico Clínica Chosica, EsSalud
  • Mario Sáchez Departamento de Cirugía General, Hospital Arzobispo Loayza, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v64i1.1427

Keywords:

Bezoars, trichotillomania, gastrointestinal diseases

Abstract

Rapunzel syndrome is a rare form of gastric trichobezoar extending to the bowel. It is composed of hair, mucus and decaying food particles. We report the case of an 18 year-old girl who was admitted to our institution with past history of irregular treatment of major depression during the previous year and history of five months of nauseas, vomiting and 15 kg weight loss. On examination findings included abdominal tumor mass, distention and pain. She presented severe anemia and the gastroduodenal x-rays showed gastric filling defects. Diagnosis was confirmed by gastroscopy and gastrotomy revealed a large tricobezoar with duodenal projection, that was removed. She did not present complications on discharge.

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Published

2003-03-17

Issue

Vol. 64 No. 1 (2003)

Section

Casos clínicos

License

Copyright (c) 2003 David Loja, José Alvizuri, Maricela Vilca, Mario Sáchez

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How to Cite

1.
Loja D, Alvizuri J, Vilca M, Sáchez M. Rapunzel symdrome: gastroduodenal trichobezoar. An Fac med [Internet]. 2003 Mar. 17 [cited 2024 Jul. 3];64(1):71-7. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1427