Rapunzel Syndrome: A Case Report with Literature Review
Rajesh Godara*, Bansal AR, Sandhya, Jaikaran, Tamaknand V and Tripura R
Department of Surgical Gastroenterology and Surgery, Post Graduate Institute of Medical Sciences Rohtak, India
- *Corresponding Author:
- Dr Rajesh Godara
Department of Gastrointestinal Surgery
Post Graduate Institute of Medical Sciences
Rohtak, Haryana, India
E-mail: [email protected]
Received date: April 15, 2015; Accepted date: May 26, 2015; Published date: May 30, 2015
Citation: Godara R, Bansal AR, Sandhya, Jaikaran, Tamaknand V, et al. (2015) Rapunzel Syndrome: A Case Report with Literature Review. J Gastrointest Dig Syst 5:291. doi:10.4172/2161-069X.1000291
Copyright: © 2015 Godara R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Bezoar is a conglomeration of foreign material in the intestinal tract. Trichobezoar (accumulation of hair in the gastric chamber, secondary to impulsive pulling and intake) and Rapunzel syndrome (accumulation of hair in the small intestine) usually occur in children and adolescents with trichotillomania, trichophagia and gastric dysmotility disorder.The usual symptomatology includes vomiting and abdominal pain.
Case presentation: 18 year old female presented with complaints of dull aching epigastric pain, vomiting, loss of appetite and weight loss of 18 months duration. On examination she was emaciated having a palpable lump in epigastrium. Further examination and imaging showed a large trichobezoar. She underwent gastrotomy and extraction of hair ball. Post operative course was uneventful.
Conclusion: Early diagnosis and treatment of the Rapunzel syndrome is of eminent importance in order to avoid later fatal complications such as gastric perforation, intestinal obstruction and necrosis. Complete removal of trichobezoar and psychiatric consultation, coupled with long-term follow-up, are essential to prevent recurrence.