https://imedsciences.com/ editor_ijims@hotmail.com
ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.139

Type of Article: Review

Volume 3; Issue 7: July 2016

Page No.: 361-364

DOI: 10.16965/ijims.2016.139

Review of Trichobezoar and its Clinical Relevance with A Special Reference to an Unusual Presentation of Rapunzel Syndrome, A Double Impacted Trichobezoar

Kapil Rampal *1, Devendra Prajapati 2, Meghna Sharma 3.

*1 Senior Resident surgery  Deen Dayal Upadhyaya Hospital ,Hari Nagar, New Delhi, India.

2 Senior Resident surgery  Deen Dayal Upadhyaya Hospital ,Hari Nagar, New Delhi, India.

3 Medical officer PCMS-1, CHC Kasel , Tarn Taran Punjab, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Kapil Rampal, Senior Resident, Deen Dayal Upadhyaya Hospital, Hari Nagar, New Delhi- 110064, India. Telephone: +919718379366/+919650109599 E-Mail: balkarankapil@gmail.com

ABSTRACT

Bezoars are collections of interwoven organic or inorganic matter found in the alimentary canal. Rapunzel syndrome represents a rare presentation of trichobezoar where the tail of main gastric bezoar extends into the lumen of small intestine. We present the case of a 09 year old female child who presented to us as a case of acute intestinal obstruction as a rare manifestation of Rapunzel syndrome, with migration of gastric bezoar into the small intestine. Successful surgical retrieval was performed in emergency scenario and the patient had an uneventful recovery.

Key words: Trichobezoar, Rapunzel syndrome, Trichotillomania, Trichophagia, Intestinal obstruction, abdominal mass.

REFERENCES

  1. Phillips MR, Zaheer S, Drugas GT: Gastric trichobezoar: case report and literature review. Mayo Clin Proc 1998;73:653-656.
  2. Diefenbach GJ, Reitman D, Williamson DA: Trichotillomania: a challenge to research and practice. Clin Psychol Rev 2000;20:289–309.
  3. Carr JR, Sholevar EH, Baron DA: Trichotillomania and trichobezoar: a clinical practice insight with report of illustrative case. J Am Osteopath Assoc 2006;106:647–652.
  4. Shackelford’s Surgery of the Alimentary Tract, 6th
  5. DuBose 5th TM, Southgate WM, Hill GJ:  Lactobezoars: A patient series and literature review.   Clin Pediatr (Phila)  2001;40:603-606.
  6. Irving PM, Kadirkamanathan SS, Priston AV, Blanshard C. Education and imaging. Gastrointestinal: Rapunzel syndrome. J Gastroenterol Hepatol 2007;22:2361.
  7. Gockel I, Gaedertz C, Hain HJ, Winckelmann U, Albani MI, Lorenz D. [The Rapunzel syndrome: rare manifestation of a trichobezoar of the upper gastrointestinal tract.] Chinurg 2003;74:753-756.
  8. Sharma NL, Sharma RC, Mahajan VK, Sharma RC, Chauhan D, Sharma AK. Trichotillomania and trichophagia leading to trichobezoar. J Dermatol 2000;27:24-26.
  9. Gupta Naik S, Naik S, Chaudhary AK, Jain P, Sharma A. Rapunzel Syndrome Reviewed and Redefined. Dig Surg 2007;24:157-161.
  10. Wang YG, Seitz U, Li ZL, Soehendra N, Qiao XA. Endoscopic management of huge bezoars. Endoscopy 1998;30:371-374.
  11. Walker-Renard P.  Update on the medical management of phytobezoars.   Am J Gastroenterol  1993;88:1663-1666.
  12. Zarling EJ, Moeller DD.  Bezoar therapy: Complications using Adolph’s meat tenderizer and alternatives from literature review.   Arch Intern Med  1981;141:1669-1670.
  13. Sechopoulos P, Robotis JF, Rokkas T.  Gastric bezoar treated endoscopically with a carbonated beverage: Case report.   Gastrointest Endosc  2004;60:662-664.

 

Download Full Text TOC