The Rapunzel syndrome: a hard-to-swallow tale

BEGE ; DESJEUX ; COQUET-REINIER ; BERDAH ; GRIMAUD ; BRUNET

Type de document
ARTICLE A COMITE DE LECTURE REPERTORIE DANS BDI (ACL)
Langue
anglais
Auteur
BEGE ; DESJEUX ; COQUET-REINIER ; BERDAH ; GRIMAUD ; BRUNET
Résumé / Abstract
Introduction Rapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical. Case Report A 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail. Conservative treatments failed to remove the bezoar. We performed a short laparotomy which allowed the removal of the bezoar through a longitudinal gastrotomy. Postoperative course was uneventful. Keywords Gastric trichobezoar . Rapunzel syndrome . Longitudinal gastrotomy
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