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Síndrome de Rapunzel: diagnóstico radiológico
BACKGROUND: Rapunzel syndrome is a rare presentation of trichobezoar, secondary to the ingestion of hair known as trichophagia. This bezoar has been found mainly in women, it invades the stomach and extends to the small intestine. Clinically, patients present weight loss and chronic obstructive symp...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto Mexicano del Seguro Social
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484550/ https://www.ncbi.nlm.nih.gov/pubmed/37540757 http://dx.doi.org/10.5281/zenodo.8200619 |
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author | Lara-Zavala, Yhessica Yhazmin Álvarez-Ciaca, Inés Montiel-Jarquin, Álvaro José Bertado-Ramírez, Nancy Rosalía García-Galicia, Arturo Alonso-Torres, Gisela |
author_facet | Lara-Zavala, Yhessica Yhazmin Álvarez-Ciaca, Inés Montiel-Jarquin, Álvaro José Bertado-Ramírez, Nancy Rosalía García-Galicia, Arturo Alonso-Torres, Gisela |
author_sort | Lara-Zavala, Yhessica Yhazmin |
collection | PubMed |
description | BACKGROUND: Rapunzel syndrome is a rare presentation of trichobezoar, secondary to the ingestion of hair known as trichophagia. This bezoar has been found mainly in women, it invades the stomach and extends to the small intestine. Clinically, patients present weight loss and chronic obstructive symptoms at the intestinal level. A case of Rapunzel syndrome is presented. CLINICAL CASE: A 13-year-old female presented with a weight loss of 10kg in two months, chronic constipation, predominantly nocturnal vomiting, and abdominal pain of seven days' duration. Physical examination revealed decreased peristalsis and a palpable mass in the epigastrium. Laboratories taken on admission: normal blood count, kidney function tests, and liver function tests. The abdominal X-ray showed opacity in the fundus, body and gastric antrum, the abdominal ultrasound showed non-specific findings in the epigastrium, later an abdominal tomography was performed with a swallow of water-soluble contrast medium and showed occupation in the gastric lumen. She underwent exploratory laparotomy and the finding was a trichobezoar in the stomach with extension to the duodenum and part of the jejunum, which was removed without complications. The evolution of the patient was favorable. CONCLUSIONS: For the diagnosis of Rapunzel Syndrome, the use of contrast imaging studies is necessary, and the treatment of choice is surgical. |
format | Online Article Text |
id | pubmed-10484550 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Instituto Mexicano del Seguro Social |
record_format | MEDLINE/PubMed |
spelling | pubmed-104845502023-09-08 Síndrome de Rapunzel: diagnóstico radiológico Lara-Zavala, Yhessica Yhazmin Álvarez-Ciaca, Inés Montiel-Jarquin, Álvaro José Bertado-Ramírez, Nancy Rosalía García-Galicia, Arturo Alonso-Torres, Gisela Rev Med Inst Mex Seguro Soc Casos Clínicos BACKGROUND: Rapunzel syndrome is a rare presentation of trichobezoar, secondary to the ingestion of hair known as trichophagia. This bezoar has been found mainly in women, it invades the stomach and extends to the small intestine. Clinically, patients present weight loss and chronic obstructive symptoms at the intestinal level. A case of Rapunzel syndrome is presented. CLINICAL CASE: A 13-year-old female presented with a weight loss of 10kg in two months, chronic constipation, predominantly nocturnal vomiting, and abdominal pain of seven days' duration. Physical examination revealed decreased peristalsis and a palpable mass in the epigastrium. Laboratories taken on admission: normal blood count, kidney function tests, and liver function tests. The abdominal X-ray showed opacity in the fundus, body and gastric antrum, the abdominal ultrasound showed non-specific findings in the epigastrium, later an abdominal tomography was performed with a swallow of water-soluble contrast medium and showed occupation in the gastric lumen. She underwent exploratory laparotomy and the finding was a trichobezoar in the stomach with extension to the duodenum and part of the jejunum, which was removed without complications. The evolution of the patient was favorable. CONCLUSIONS: For the diagnosis of Rapunzel Syndrome, the use of contrast imaging studies is necessary, and the treatment of choice is surgical. Instituto Mexicano del Seguro Social 2023 /pmc/articles/PMC10484550/ /pubmed/37540757 http://dx.doi.org/10.5281/zenodo.8200619 Text en © 2023 Revista Medica del Instituto Mexicano del Seguro Social. https://creativecommons.org/licenses/by-nc-nd/4.0/Esta obra está bajo una Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional. |
spellingShingle | Casos Clínicos Lara-Zavala, Yhessica Yhazmin Álvarez-Ciaca, Inés Montiel-Jarquin, Álvaro José Bertado-Ramírez, Nancy Rosalía García-Galicia, Arturo Alonso-Torres, Gisela Síndrome de Rapunzel: diagnóstico radiológico |
title | Síndrome de Rapunzel: diagnóstico radiológico |
title_full | Síndrome de Rapunzel: diagnóstico radiológico |
title_fullStr | Síndrome de Rapunzel: diagnóstico radiológico |
title_full_unstemmed | Síndrome de Rapunzel: diagnóstico radiológico |
title_short | Síndrome de Rapunzel: diagnóstico radiológico |
title_sort | síndrome de rapunzel: diagnóstico radiológico |
topic | Casos Clínicos |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484550/ https://www.ncbi.nlm.nih.gov/pubmed/37540757 http://dx.doi.org/10.5281/zenodo.8200619 |
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