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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

SALINAS, Fernán; SANCHEZ-SIERRA, Luis Enrique; LANZA, Lena  y  OCHOA, Tebni. Rapunzel syndrome in teenager: Intestinal subocclusion cause. Rev Chil Cir [online]. 2017, vol.69, n.5, pp.404-407. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.10.003.

Aim:

Present a case of Rapunzel syndrome, this is a rare disease that is a variant of gastric tricobezoar which extends to the second portion of duodenum.

Case report:

Female patient with tricuspid atresia treated surgically. Abdominal pain three days of evolution on the left upper quadrant radiating to the right upper quadrant with abdominal distension, nausea and vomiting. Abdominal circumference was 58 cm, decreased bowel sounds. The exploratory laparotomy presenced of a mass formed by interlocking hair, approximately 40 cm long with a compatible tricobezoar that spread from the gastric fundus to the duodenum called Rapunzel síndrome and caused partial bowel obstruction.

Conclusion:

Early diagnosis can prevent complications, which can be severe, a multidisciplinary management is recommended in psychiatry service to control the underlying disease.

Palabras clave : Trichobezoar; Trichotilomania; Rapunzel syndrome.

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