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Acute Presentation of Rapunzel Syndrome and a Review of Bezoars

Bezoars have different compositions and can be subdivided into trichobezoar, phytobezoar, pharmacobezoar, lactobezoar and food bolus. The reported incidence of bezoar is 0.4% with phytobezoar being the commonest. Rapunzel syndrome is an extremely rare complication when trichobezoar crosses the pylor...

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Detalles Bibliográficos
Autores principales: Chin, Xinlin, Ng, Jessica Y
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794762/
https://www.ncbi.nlm.nih.gov/pubmed/35111469
http://dx.doi.org/10.7759/cureus.20785
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author Chin, Xinlin
Ng, Jessica Y
author_facet Chin, Xinlin
Ng, Jessica Y
author_sort Chin, Xinlin
collection PubMed
description Bezoars have different compositions and can be subdivided into trichobezoar, phytobezoar, pharmacobezoar, lactobezoar and food bolus. The reported incidence of bezoar is 0.4% with phytobezoar being the commonest. Rapunzel syndrome is an extremely rare complication when trichobezoar crosses the pylorus to enter the duodenum, ileum and colon. We present the case of a 29-year-old female with a one-week history of abdominal pain, anorexia, nausea, vomiting, constipation, lethargy and a one-year history of increasing abdominal mass. Physical examination revealed a 20 cm palpable mass extending from the left upper quadrant to the umbilicus. Laboratory investigations demonstrated iron deficiency anemia and CT showed two well-defined foci within the gastric lumen consistent with trichobezoars. She was managed conservatively during her hospital stay and discharged home with a plan for elective laparotomy. We present this case to discuss the management of trichobezoars and to highlight the importance of early recognition of recurrence to avoid severe complications.
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spelling pubmed-87947622022-02-01 Acute Presentation of Rapunzel Syndrome and a Review of Bezoars Chin, Xinlin Ng, Jessica Y Cureus General Surgery Bezoars have different compositions and can be subdivided into trichobezoar, phytobezoar, pharmacobezoar, lactobezoar and food bolus. The reported incidence of bezoar is 0.4% with phytobezoar being the commonest. Rapunzel syndrome is an extremely rare complication when trichobezoar crosses the pylorus to enter the duodenum, ileum and colon. We present the case of a 29-year-old female with a one-week history of abdominal pain, anorexia, nausea, vomiting, constipation, lethargy and a one-year history of increasing abdominal mass. Physical examination revealed a 20 cm palpable mass extending from the left upper quadrant to the umbilicus. Laboratory investigations demonstrated iron deficiency anemia and CT showed two well-defined foci within the gastric lumen consistent with trichobezoars. She was managed conservatively during her hospital stay and discharged home with a plan for elective laparotomy. We present this case to discuss the management of trichobezoars and to highlight the importance of early recognition of recurrence to avoid severe complications. Cureus 2021-12-28 /pmc/articles/PMC8794762/ /pubmed/35111469 http://dx.doi.org/10.7759/cureus.20785 Text en Copyright © 2021, Chin et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Chin, Xinlin
Ng, Jessica Y
Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title_full Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title_fullStr Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title_full_unstemmed Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title_short Acute Presentation of Rapunzel Syndrome and a Review of Bezoars
title_sort acute presentation of rapunzel syndrome and a review of bezoars
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794762/
https://www.ncbi.nlm.nih.gov/pubmed/35111469
http://dx.doi.org/10.7759/cureus.20785
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