Home|Journals|Articles by Year|Audio Abstracts

Case Report

Rapunzel syndrome associated with giant trichobezoar in a patient with a history of trichotillomania: case report

Carlos Octavio García-Gómez,José Miguel Huerta-Velázquez,Venustriano Llamas-Avelar,Alexa Jimenez-Curiel.

Cited by 0 Articles

We present the clinical case of an 18-year-old female patient with a personal history of onychophagia, trichophagia, trichotillomania and anxiety disorder with poor adherence to treatment. She presented at the Emergency Department with clinical data compatible with intestinal obstruction at the gastric level with presence of an abdominal mass in the upper quadrant accompanied with a three-day history of abdominal pain, vomit and absence of bowel movements. A simple abdominal tomography was performed, showing gastric outlet obstruction with material suggestive of bezoar and small bowel dilatation. An urgent laparotomy was performed finding a giant trichobezoar with measurements of 30x12x6 centimeters. Patients affected by trichobezoars usually remain asymptomatic for many years and the onset of symptoms is insidious. The most associated symptoms include abdominal pain, nausea, vomiting, early satiety, anorexia and weight loss, as well as clinical data compatible with gastric obstruction. Trichobezoar is an extremely rare entity, with an incidence of less than 0.3% of the general population, occurring almost exclusively in female patients with a history of trichotillomania.

Key words: Rapunzel syndrome; Trichobezoar; Trichotillomania; Giant

Full-text options

Share this Article

Online Article Submission
• ejmanager.com

ejPort - eJManager.com
Refer & Earn
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.