Abstract
Rapunzel syndrome or gastrointestinal trichobezoar is caused by hair ingestion. The diagnosis may be suspected in young females with important weight loss, who deny hair eating. We report a 16 year-old female consulting in the emergency room for abdominal pain. She was subjected to an exploratory laparotomy and a big mass was palpated in the stomach. A gastrostomy and enterostomy were performed and a 17 x 6 x 5 cm trichobezoar was extracted. The patient had an uneventful postoperative outcome and was derived to Psychiatry.
Highlights
Rapunzel syndrome or gastrointestinal trichobezoar is caused by hair ingestion
Los bezoares son colecciones de material extraño indigerible, acumulables en cualquier segmento del tracto gastrointestinal, de preferencia en estómago[1,2,3,4,5,6,7,8,9]
En esta paciente se presentó como una obstrucción intestinal, lo que llevó a una laparotomía exploradora, siendo el Rapunzel un hallazgo quirúrgico con exitosa resolución
Summary
Rapunzel syndrome or gastrointestinal trichobezoar is caused by hair ingestion. The diagnosis may be suspected in young females with important weight loss, who deny hair eating. Los tricobezoares corresponden a bezoares compuestos por pelos. Consideramos de interés comunicar el caso de una adolescente con un tricobezoar gastroyeyunal tipo Rapunzel asociado a obstrucción intestinal, resuelto quirúrgicamente, por su rara ocurrencia, su potencial gravedad, pudiendo llegar a ser fatal y constituir una emergencia quirúrgica.
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