The Experts below are selected from a list of 2070 Experts worldwide ranked by ideXlab platform
Mehmet Pul - One of the best experts on this subject based on the ideXlab platform.
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The rapunzel syndrome (Trichobezoar) causing gastric perforation in a child: A case report
European Journal of Pediatrics, 1996Co-Authors: Nuran Pul, Mehmet PulAbstract:The Rapunzel syndrome (RS), is a rare form of gastric Trichobezoar extending throughout the bowel. We report on a patient with RS causing gastric perforation and discuss the aetiology, pathogenesis, diagnosis and treatment of this unusual syndrome. RS is found characteristically in girls with varying gastro-intestinal symptoms. The recommended treatment for large or complicated Trichobezoars is surgery. Psychiatric follow up is essential to diminish the frequency of reccurrence.
Sun Jun Kim - One of the best experts on this subject based on the ideXlab platform.
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a case report large Trichobezoar causing rapunzel syndrome
Medicine, 2016Co-Authors: Soon Chul Kim, Seong Hun Kim, Sun Jun KimAbstract:Rapunzel syndrome is very rare gastric foreign bodies that occur in children. It is a severe condition of a gastric Trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large (7 × 7 × 30 cm) gastric Trichobezoar. The patient had trichotillomania and trichophagia for 1 year prior to presentation. Ideally, small bezoars are removed through a minimally invasive method, such as endoscopic fragmentation. However, large Trichobezoars, including those in Rapunzel syndrome, can only be managed with open surgical extraction, despite the large scars that may result. We report a case of Rapunzel syndrome with a large bezoar that was surgically removed after it was endoscopically cauterized with argon plasma. Endoscopic precutting was used to effectively reduce the size of the bezoar.
Nuran Pul - One of the best experts on this subject based on the ideXlab platform.
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The rapunzel syndrome (Trichobezoar) causing gastric perforation in a child: A case report
European Journal of Pediatrics, 1996Co-Authors: Nuran Pul, Mehmet PulAbstract:The Rapunzel syndrome (RS), is a rare form of gastric Trichobezoar extending throughout the bowel. We report on a patient with RS causing gastric perforation and discuss the aetiology, pathogenesis, diagnosis and treatment of this unusual syndrome. RS is found characteristically in girls with varying gastro-intestinal symptoms. The recommended treatment for large or complicated Trichobezoars is surgery. Psychiatric follow up is essential to diminish the frequency of reccurrence.
Adnan Narci - One of the best experts on this subject based on the ideXlab platform.
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An unusual cause of gastric perforation in childhood: Trichobezoar (Rapunzel syndrome). A case report
European Journal of Pediatrics, 2009Co-Authors: Fesih Doğan Yıldız, Adnan NarciAbstract:Trichobezoars are hair balls found in the stomach and formed following trichitillomania and trichopaghia. Rapunzel syndrome is a rare condition in which the presence of giant Trichobezoars causes mechanical obstruction. To date, only two cases of stomach perforation caused by Trichobezoars have been reported among pediatric patients. We report a 14-year-old female patient who experienced nausea, vomiting and severe abdominal pain for 1 month. Physical examination revealed diffuse abdominal distension. Palpation detected a mobile and sensitive mass, 15 × 15 cm , which filled the upper quadrant. Urgent surgery revealed that the stomach was perforated by the Trichobezoar ball. This Trichobezoar mass was totally excised by expanding the perforation area. Conclusion This is the reported third case of gastric perforation caused by Trichobezoar in a pediatric patient. Among acute abdominal cases, gastric perforation should remain a possibility in differential diagnosis.
Noronha Joana - One of the best experts on this subject based on the ideXlab platform.
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*, Madeira Nuno
2016Co-Authors: Santos Tiagoª, Molinar Gonçalo, Alcafache Joãoª, Vicente Carlaª, Noronha JoanaAbstract:Abstract: Objective: Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the Trichobezoar extends past the duodenum it is better referred to as Rapunzel Syndrome. Although Trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomania. The authors present a clinical case of Trichobezoar and discuss the most relevant aspects concerning this entity. Methods: Presentation of psychiatric and surgical data concerning the case report. Previously reported cases are also mentioned. Results: Report of a 27-year-old female patient with a Trichobezoar submitted to surgical removal, with a prior interven-tion 4 years before also due to Trichobezoar, and with unknown psychiatric antecedents or follow-up. Conclusions: A Trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and Trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symp-tom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their rele-vance to impulse control disorders
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Trichophagia and Trichobezoar: Case Report
Clinical practice and epidemiology in mental health : CP & EMH, 2012Co-Authors: Santos Tiago, Madeira Nuno, Alcafache João, Vicente Carla, Molinar Gonçalo, Noronha JoanaAbstract:Objective: Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the Trichobezoar extends past the duodenum it is better referred to as Rapunzel Syndrome. Although Trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomania. The authors present a clinical case of Trichobezoar and discuss the most relevant aspects concerning this entity. Methods: Presentation of psychiatric and surgical data concerning the case report. Previously reported cases are also mentioned. Results: Report of a 27-year-old female patient with a Trichobezoar submitted to surgical removal, with a prior interven- tion 4 years before also due to Trichobezoar, and with unknown psychiatric antecedents or follow-up. Conclusions: A Trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and Trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symp- tom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their rele- vance to impulse control disorders.
