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Case Reports
The cause of abdominal mass in a child with celiac disease: Rapunzel syndrome. A case report.
- AppakYeliz ÇağanYÇ0000-0002-4330-9281MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey., Duygu Ertan, Miray Karakoyun, Gonca Özyurt, Tunç Özdemir, and Maşallah Baran.
- MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey.
- Sao Paulo Med J. 2019 May 1; 137 (3): 292294292-294.
ContextRapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine.Case ReportA 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.ConclusionPresence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.
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