Trichobezoar – Rapunzel
Syndrome – Case Report
Rousková B.1, Kalousová J.1, Vyhnánek M.1, Szitányi P.2
linika dětské chirurgie 2. LF UK a FN Motol, přednosta prof. MUDr. J. Šnajdauf, DrSc. 2Pediatrická klinika 2. LF UK a FN Motol, přednosta prof. MUDr. J. Vavřinec, DrSc. |
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Summary:
Bezoars consist of swallowed foreign materials or indigestible organic matter and form a mass in gastrointestinal
tract, usually in stomach. Trichobezoars are formed by swallowed hair, they are rare, and occur often in
patients with psychiatric disorders. They may present with malabsorption, weight loss, abdominal pain, and
signs of gastrointestinal obstruction or even perforation. Gastric trichobezoar with a tail reaching small intestine
is called Rapunzel syndrom. Authors present a case of Rapunzel syndrome in a 13-year-old girl with only a short
history of mild abdominal pain in who a gastric trichobezoar weighting 700g and measuring 24 × 16 × 10 cm was
removed from laparotomy.
Key words:
trichobezoar – trichotillomania – Rapunzel syndrome
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