J Acute Care Surg.
2021 Mar;11(1):39-42. 10.17479/jacs.2021.1.39.
Successful Laparoscopic Removal of a Huge Trichobeozar in Cases of Rapunzel Syndrome in Children
- Affiliations
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- 1Department of Surgery, Pusan National University Yangsan Hospital,Yangsan, Korea
- 2Departiment of Pediatric surgery, Pusna National University Children’s Hospital, Yangsan, Korea
- KMID: 2514228
- DOI: http://doi.org/10.17479/jacs.2021.1.39
Abstract
- Rapunzel syndrome is a very rare condition. The trichobezoar, in cases of Rapunzel syndrome, extend from the stomach into the duodenum and small bowel. Trichobezoars are usually encountered in young women with psychiatric problems, such as trichotillomania, trichophagia, or mental retardation and pica. Large trichobezoars, which are associated with Rapunzel syndrome, are removed during open surgery which requires large incisions. This Case Report describes 2 girls who had Rapunzel syndrome where the trichobezoars reached the jejunum and laparoscopic surgery was successful in the removal of the trichobezoars. Laparoscopic removal of a trichobezoar can be considered as a treatment option for children with Rapunzel syndrome.
