Rapunzel sendromu: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2004; 10(4): 260-263

Rapunzel sendromu: Olgu sunumu

Ramazan Eryılmaz1, Mustafa Şahin1, Orhan Alimoğlu1, M. Kamil Yıldız1
SSK Vakıf Gureba Eğitim Hastanesi, 1. Cerrahi Kliniği, İstanbul.



A case of Rapunzel syndrome

Ramazan Eryılmaz1, Mustafa Şahin1, Orhan Alimoğlu1, M. Kamil Yıldız1
SSK Vakıf Gureba Eğitim Hastanesi, 1. Cerrahi Kliniği, İstanbul.

Trichobezoars are concretions of hair casts in the stomach associated with trichotillomania and trichophagia. The condition is termed Rapunzel syndrome when formation of a huge trichobezoar extends to the small bowel, resulting in gastrointestinal obstruction. We present a 19-year-old girl who had complaints of colicky abdominal pain, nausea and vomiting seven years after surgical treatment for a gastric trichobezoar. Gastric endoscopy was performed with an initial diagnosis of recurrent trichobezoar, which revealed a huge one. The patient underwent laparotomy, during which a huge trichobezoar with a long tail was totally removed by an anterior gastrotomy. Following removal of the lesion, the antrum was observed with multiple ulcers secondary to extensive pressure. Postoperative period was uneventful. A subsequent psychiatric consultation revealed depressive personality disorder.



Ramazan Eryılmaz, Mustafa Şahin, Orhan Alimoğlu, M. Kamil Yıldız. A case of Rapunzel syndrome. Ulus Travma Acil Cerrahi Derg. 2004; 10(4): 260-263


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