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Case Report
1 PGY-3 General Surgery, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo Leon, Mexico
2 Chairman General Surgery Department, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo Leon, Mexico
Address correspondence to:
Gerardo Enrique Muñoz Maldonado
Chairman General Surgery Department, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo Leon,
Mexico
Message to Corresponding Author
Article ID: 101309Z01AC2022
Rapunzel syndrome refers to a rare disease that consists of a variant of gastric trichobezoar that has an extension distal to the small bowel. Most cases occur in young women with an underlying psychiatric illness, such as trichotillomania and trichophagia. The trichobezoar should be considered as a differential diagnosis of abdominal pain in young patients with the presence of associated psychiatric pathology since its early diagnosis allows avoiding complications. We present the case of Rapunzel syndrome in a young female patient with no documented history of trichotillomania or trichophagia who presented with gastric perforation. The patient underwent surgery, and a 25 cm trichobezoar was extracted from the stomach. She was discharged home on the 3rd postoperative day. Multidisciplinary management with general surgery, gastroenterology, and psychiatry divisions is essential for offering an integrative treatment to these patients.
Keywords: Gastric ulcer, Perforation, Trichobezoar, Trichophagia
Alberto De Anda Coronado - Acquisition of data, Drafting the article, Final approval of the version to be published
Anya Yamilia Adame Gutierrez - Analysis of data, Drafting the article, Final approval of the version to be published
Gerardo Enrique Muñoz Maldonado - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Alberto De Anda Coronado et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.