Rapunzel Syndrome Associated With Triple Simultaneous Trichobezoar: A Case Report

Caballero-Alvarado J.; Carlos Z.C.; Alvildo-Vilchez C.D.; Andrade-Castro W.; Gutierrez-Minchola E.G. · Surgical Chronicles (2022)

Resumen

The trichobezoar is an infrequent cause of intestinal obstruction in different portions of the gastrointestinal tract. Most of the cases reported are located in the stomach and are associated with psychiatric disorders such as trichotillomania and trichophagia. We reported a 12-year-old female who came to the emergency room presenting with abdominal pain, nausea, vomiting, and weight loss in the previous weeks. Physical examination showed a mobile mass in the epigastrium. After diagnostic studies were completed, an exploratory laparotomy was performed. Surgical findings revealed multiple trichobezoars with a large one located in the stomach and the others three ones locates in different segments of the jejunal. All trichobezoars were removed through a gastrostomy and jejunal enterostomy, respectively. After the surgical procedure the patient had an adequate postoperative course and was discharged seven days later without complications. Further management required psychiatric, nutritional, and social assistance services follow-up for a multidisciplinary management.

Instituciones: Universidad Privada Antenor Orrego