The Rapunzel syndrome: a hard-to-swallow tale.

J. Gastrointest. Surg. · Aug 2011

Case Reports

The Rapunzel syndrome: a hard-to-swallow tale.

Rapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical. ⋯ A 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail. Conservative treatments failed to remove the bezoar. We performed a short laparotomy which allowed the removal of the bezoar through a longitudinal gastrotomy. Postoperative course was uneventful.

keep going… or not…
- Thierry Bège, Ariadne Desjeux, Benjamin Coquet-Reinier, Stéphane V Berdah, Jean-Charles Grimaud, and Christian Brunet.
- Department of Digestive Surgery, Hôpital Nord, Chemin des Bourrely, 13915, Marseille cedex 20, France. thierry.bege@ap-hm.fr
- J. Gastrointest. Surg. 2011 Aug 1;15(8):1486-7.
IntroductionRapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical.Case ReportA 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail. Conservative treatments failed to remove the bezoar. We performed a short laparotomy which allowed the removal of the bezoar through a longitudinal gastrotomy. Postoperative course was uneventful.

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