Case Report


Rapunzel syndrome debuts as a gastric perforation

,  ,  

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

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Article ID: 101309Z01AC2022

doi: 10.5348/101309Z01AC2022CR

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How to cite this article

Coronado ADA, Gutierrez AYA, Maldonado GEM. Rapunzel syndrome debuts as a gastric perforation. Int J Case Rep Images 2022;13:101309Z01AC2022.

ABSTRACT


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

SUPPORTING INFORMATION


Author Contributions

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 Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors 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.


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