Rapunzel Syndrome Causing Gastric Outlet Obstruction in A 12-Year-Old Girl: Report of A Case and Review of the Literature

Abstract

Rapunzel syndrome (RS) is a rare condition presenting with hair accumulation in the stomach that extends to small intestine. It may cause gastric outlet and intestinal obstruction. The most common clinical signs are abdominal pain, palpable mobile mass and vomiting. A 12-year-old girl with a history of trichotillomania, trichophagia, attention deficit and hyperactivity disorder presented with gastric outlet obstruction. A bezoar completely filling the stomach and reaching to third part of the duodenum was detected in abdominal ultrasound. Removal of the trichobezoar via gastrotomy was the treatment of choice. Herein we report a 12-year-old girl with RS to discuss the clinical features and treatment options in this rare presentation. Key Words: Bezoar, trichobezoar, Rapunzel Syndrome, child

Keywords

• Bezoar
• trichobezoar
• Rapunzel Syndrome
• child

12 Yaşındaki Bir Kız Çocukta Mide Çıkım Tıkanıklığına Neden Olan Rapunzel Sendromu: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Abstract

Rapunzel sendromu (RS) midede biriken saçların ince barsakta obstrüksiyona neden olabilecek şekilde uzandığı nadir bir durumdur. Mide çıkımında ve barsakta tıkanıklığına neden olabilir. En sık görülen klinik belirtiler karın ağrısı, ele gelen mobil kitle ve kusmadır. Trikotilomani, trikofaji, dikkat eksikliği ve hiperaktivite bozukluğu öyküsü olan 12 yaşında kız hasta, mide çıkım tıkanıklığı nedeniyle başvurdu. Batın ultrasonunda mideyi tamamen dolduran ve duodenumun üçüncü kısmına uzanan bezoar tespit edildi. Trikobezoarın gastrotomi yoluyla çıkarılması tercih edildi. Burada, bu nadir görülen tablonun klinik özelliklerini ve tedavi seçeneklerini tartışmak amacıyla 12 yaşında RS’li bir kız çocuğunu sunuyoruz. Anahtar Kelimeler: Bezoar, trikobezoar, Rapunzel Sendromu, çocuk

Keywords

• Bezoar
• trikobezoar
• Rapunzel Sendromu
• çocuk

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