Case Report
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Rapunzel Syndrome in a Patient with Autism

Year 2022, Volume: 32 Issue: 4, 476 - 479, 31.08.2022
https://doi.org/10.54005/geneltip.1040015

Abstract

Trichobezoar should be considered in the differential diagnosis in pediatric patients who present with complaints of abdominal pain, feeding problems, and vomiting as well as psychiatric problems.Rapunzel syndrome is a rare form of trichobezoar that can extend from the stomach to the small intestine and even to the colon. In this case report, a 9-year-old girl with autism accompanied by trichotillomania and trichophagia and diagnosed with Rapunzel syndrome is presented.

References

  • 1. Vaughan Jr E, Sawyers J, Scott Jr H. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery. 1968;63(2):339-43.
  • 2. Grimm B. Rapunzel. Translated by Godwin-Jones R. Richmond. Virginia Commonwealth University: Department of Foreign Languages. 1994:1994-9.
  • 3. Nettikadan A, Ravi M, Shivaprasad M. Recurrent Rapunzel syndrome–A rare tale of a hairy tail. International journal of surgery case reports. 2018;45:83-6.
  • 4. Vellaisamy R, Iyer S, Chandramohan SM, Harikrishnan S. Rapunzel syndrome with cholangitis and pancreatitis–A rare case report. Open Medicine. 2020;15(1):1137-42.
  • 5. Gastric bezoars. Available at: https://www.uptodate.com/contents/gastric-bezoars. Accessed February 19.
  • 6. Grant JE, Odlaug BL. Clinical characteristics of trichotillomania with trichophagia. Comprehensive psychiatry. 2008;49(6):579-84.
  • 7. Lalith S, Gopalakrishnan KL, Ilangovan G, Jayajothi A. Rapunzel syndrome. Journal of clinical and diagnostic research: JCDR. 2017;11(9):TD01.
  • 8. Sidhu B, Singh G, Khanna S. Trichobezoar. Journal of the Indian Medical Association. 1993;91(4):100-1.
  • 9. Chun SW, Lee K, Park YJ, Shin HD. Rapunzel Syndrome Removed with Enteroscopy in a Child. The Korean Journal of Gastroenterology. 2019;74(1):42-5.
  • 10. Gorter R, Kneepkens C, Mattens E, Aronson D, Heij H. Management of trichobezoar: case report and literature review. Pediatric surgery international. 2010;26(5):457-63.
  • 11. Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y. Laparoscopic removal of a large gastric trichobezoar. Journal of pediatric surgery. 1998;33(4):663-5.

OTİZMLİ BİR HASTADA RAPUNZEL SENDROMU

Year 2022, Volume: 32 Issue: 4, 476 - 479, 31.08.2022
https://doi.org/10.54005/geneltip.1040015

Abstract

Karın ağrısı, beslenme sorunları ve kusma şikayetlerinin yanı sıra psikiyatrik sorunlar ile başvuran çocuk hastalarda trikobezoar ayırıcı tanıda düşünülmelidir. Rapunzel sendromu, trikobezoarın mideden ince bağırsağa ve hatta kolona kadar uzanabilen nadir görülen bir formudur. Bu olgu sunumunda trikotillomani ve trikofajinin eşlik ettiği Rapunzel sendromu tanısı konulan otizmli 9 yaşında bir kız çocuğu sunulmaktadır.

References

  • 1. Vaughan Jr E, Sawyers J, Scott Jr H. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery. 1968;63(2):339-43.
  • 2. Grimm B. Rapunzel. Translated by Godwin-Jones R. Richmond. Virginia Commonwealth University: Department of Foreign Languages. 1994:1994-9.
  • 3. Nettikadan A, Ravi M, Shivaprasad M. Recurrent Rapunzel syndrome–A rare tale of a hairy tail. International journal of surgery case reports. 2018;45:83-6.
  • 4. Vellaisamy R, Iyer S, Chandramohan SM, Harikrishnan S. Rapunzel syndrome with cholangitis and pancreatitis–A rare case report. Open Medicine. 2020;15(1):1137-42.
  • 5. Gastric bezoars. Available at: https://www.uptodate.com/contents/gastric-bezoars. Accessed February 19.
  • 6. Grant JE, Odlaug BL. Clinical characteristics of trichotillomania with trichophagia. Comprehensive psychiatry. 2008;49(6):579-84.
  • 7. Lalith S, Gopalakrishnan KL, Ilangovan G, Jayajothi A. Rapunzel syndrome. Journal of clinical and diagnostic research: JCDR. 2017;11(9):TD01.
  • 8. Sidhu B, Singh G, Khanna S. Trichobezoar. Journal of the Indian Medical Association. 1993;91(4):100-1.
  • 9. Chun SW, Lee K, Park YJ, Shin HD. Rapunzel Syndrome Removed with Enteroscopy in a Child. The Korean Journal of Gastroenterology. 2019;74(1):42-5.
  • 10. Gorter R, Kneepkens C, Mattens E, Aronson D, Heij H. Management of trichobezoar: case report and literature review. Pediatric surgery international. 2010;26(5):457-63.
  • 11. Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y. Laparoscopic removal of a large gastric trichobezoar. Journal of pediatric surgery. 1998;33(4):663-5.
There are 11 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Anna Carina Ergani 0000-0003-3494-1581

Meltem Gümüş 0000-0002-9257-6597

Reyhan Gümüştekin 0000-0001-5813-4448

Fatma Özcan Sıkı 0000-0002-4461-3461

Metin Gündüz 0000-0002-6070-0135

Halil Haldun Emiroğlu 0000-0002-1635-1150

Publication Date August 31, 2022
Submission Date December 24, 2021
Published in Issue Year 2022 Volume: 32 Issue: 4

Cite

Vancouver Ergani AC, Gümüş M, Gümüştekin R, Özcan Sıkı F, Gündüz M, Emiroğlu HH. Rapunzel Syndrome in a Patient with Autism. Genel Tıp Derg. 2022;32(4):476-9.