Saldivar-Vera DA, Alvarado-Bahena PA, Chávez-Serna E, Salgado-Vives J, Hernández-Bustos UF. Rapunzel Syndrome. A rare cause of intestinal obstruction.
CIR CIR 2021;
89:90-93. [PMID:
34932546 DOI:
10.24875/ciru.20001407]
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Abstract
BACKGROUND
Rapunzel syndrome is the formation of a trichobezoar that extends beyond the small intestine. Since its discovery few cases have been reported in the literature with variable clinical characteristics, causing important complications such as intestinal obstruction. Laparotomy is currently considered the treatment of choice.
CASE REPORT
We present the clinical case of a patient who presented with recurrent peritonitis associated with a peritoneal dialysis catheter, anorexia, nausea, vomiting, without channeling or presenting evacuations, epigastric tumor, anxiety, trichotillomania and trichophagia. Rapunzel syndrome is diagnosed and admission to the operating room is decided.
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