<p>Trichobezoars retain undigested material in the stomach, usually hair or hair-like fibers. Trichobezoars can cause gastrointestinal obstruction and Rapunzel syndrome, a perforation linked to pressure necrosis when they spread into the small intestine. This case study features a 16-year-old female patient complaining of epigastric pain. Computed tomography and abdominal ultrasonography yielded inconclusive results. A sizable clump of hair that stretched from the gastric body to the duodenum was seen on the upper endoscopy. The patient was first referred to a surgeon to have the hair removed, and then to the psychiatry department.</p>

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Rapunzel syndrome, endoscopy solves the enigma: a case report

  • Ahmed Ramadan,
  • Nancy A. Ahmed,
  • Mohammed. N. Abdelaziz,
  • El-Sayed Abou El-Magd

摘要

Trichobezoars retain undigested material in the stomach, usually hair or hair-like fibers. Trichobezoars can cause gastrointestinal obstruction and Rapunzel syndrome, a perforation linked to pressure necrosis when they spread into the small intestine. This case study features a 16-year-old female patient complaining of epigastric pain. Computed tomography and abdominal ultrasonography yielded inconclusive results. A sizable clump of hair that stretched from the gastric body to the duodenum was seen on the upper endoscopy. The patient was first referred to a surgeon to have the hair removed, and then to the psychiatry department.