Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management
Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management作者机构：Department of Surgery the Adelaide and Meath Hospital Dublin Incorporating the National Children’s Hospital
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2017年第5卷第2期
页 面：50-55页
核心收录：
学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学]
主 题：Trichobezoars Rapunzel syndrome Recurrence Obsessive compulsive disorders Case report
摘 要：Recurrent Rapunzel syndrome(RRS) is a rare clinical presentation with fewer than six cases reported in the Pub Med literature. A report of RRS and literature review is presented. A 25-year-old female was admitted to hospital with a 4-wk history of epigastric pain and swelling. She had a known history of trichophagia with a previous admission for Rapunzel syndrome requiring a laparotomy nine years earlier, aged 16. Psychological treatment had been successfully achieved for nine years with outpatient hypnotherapy sessions only, but she defaulted on her last session due to stressors at home. The abdominal examination demonstrated an epigastric mass. Computer tomography scan revealed a large gastric bezoar and features of aspiration pneumonia. The patient underwent emergency open surgical laparotomy for removal as the bezoar could not be removed endoscopically. The bezoar was cast in a shape that mimicked the contours of the stomach and proximal small bowel, hence the diagnosis of RRS. The patient was seen by a psychiatrist and was commenced on Quetiapine before discharge. She continues to attend follow-up.
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