Gastric trichobezoar and Rapunzel syndrome: case report of a very rare condition.

IF 0.4 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Hippokratia Pub Date : 2023-01-01

E Kouskos, D Polychroni, M Rizou, A Andronikou, V Petrellis

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Abstract

Background: Rapunzel syndrome is a rare trichobezoar variant extending from the gastric cavity into the small bowel.

Case description: We report the case of a 22-year-old woman who presented with epigastric pain, nausea, and loss of appetite within the preceding five weeks. She had a palpable mass in the epigastric area with mild localized tenderness. Her abdominal computed tomography scan showed a distended stomach and duodenum, with a heterogeneous solid material, suspicious for a bezoar. Upper gastrointestinal endoscopy revealed a large, densely packed trichobezoar occupying the gastric cavity and extending through the pylorus. Endoscopic removal of the bezoar was unsuccessful. The patient underwent a 6cm-long gastrotomy, and the 150cm-long bezoar, extending from the stomach to the jejunum, was uneventfully removed. The patient was referred postoperatively to a dietitian and psychiatrist for management of her trichotillomania and trichophagia.

Conclusion: Trichobezoars are commonly found in young females with a history of trichotillomania and trichophagia and are associated with psychiatric disorders. HIPPOKRATIA 2023, 27 (1):25-27.

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胃三叶虫和长发公主综合征：一个非常罕见的病例报告。

背景：长发妹综合征是一种从胃腔延伸到小肠的罕见三叶虫变异病：长发妹综合征是一种罕见的从胃腔延伸到小肠的三叶虫变异病：我们报告了一例 22 岁女性的病例，她在前五周出现上腹痛、恶心和食欲不振。她的上腹部可触及肿块，局部有轻微压痛。她的腹部计算机断层扫描显示胃和十二指肠胀大，有异质固体物质，怀疑是牛粪。上消化道内镜检查显示，一个巨大、密集的三叶虫占据了胃腔，并延伸至幽门。内镜下切除牛粪动物的手术并不成功。患者接受了 6 厘米长的胃切开术，从胃延伸到空肠的 150 厘米长的虾尾虫被顺利切除。术后，患者被转诊至营养师和精神科医生处，接受毛发瘤和毛发嗜食症的治疗：结论：在有毛发增多症和毛发嗜食症病史的年轻女性中，三叶虫很常见，并且与精神疾病有关。hippokratia 2023, 27 (1):25-27.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hippokratia MEDICINE, GENERAL & INTERNAL-

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.