OBSERVATION OF TRICHOBEZOAR OF STOMACH AND SYNDROME RAPUNZEL AT 9-YEAR-OLD GIRL. CLINICAL CASE


Cite item

Full Text

Abstract

Extremely rare case of a giant stomach trichobezoar in a 9-year-old girl. The disease was asymptomatic for a long time. Presence of a mass which could be palpated through the abdominal wall in stomach area suggested stomach bezoar formation. Owing to it’s big size, the trichobezoar was removed surgically with a good clinical result. The girl was discharged fully recovered. This case demonstrates the choice of optimum diagnostic and surgical tactics in a child with a giant trichobezoar.

Full Text

Restricted Access

About the authors

Yury Yu. Sokolov

Russian Medical Academy of Continuous Professional Education

Email: sokolov-surg@yandex.ru

Sergey V. Stonogin

Bashlyaeva Children's City Clinical Hospital

Sergey A. Korovin

Russian Medical Academy of Continuous Professional Education

Anastasia S. Koshurnikova

Bashlyaeva Children's City Clinical Hospital

Dmitry V. Afonin

Bashlyaeva Children's City Clinical Hospital

Svetlana Yu. Lyubanskaya

Bashlyaeva Children's City Clinical Hospital

Lyubov M. Rappoport

Bashlyaeva Children's City Clinical Hospital

References

  1. Арабаджян ВА. и др. Безоары в хирургической практике. Рос. мед. журн. 1996; 4: 51-3. @@Arabadzhian VA. et al. Bezoary v khirurgicheskoi praktike. Ros. med. zhurn. 1996; 4: 51-3 (in Russian).
  2. Бебуришвили А.Г., Мандрико В.В., Акинчиц А.Н. Инородные тела желудочнокишечного тракта. Учебно-методическое пособие для врачей-интернов, клинических ординаторов, хирургов и эндоскопистов. Волгоград: ВолГМУ, 2007. @@Beburishvili A.G., Mandriko V.V, Akinchits A.N. Foreign bodies of the gastrointestinal tract. Teaching aid for interns, clinical residents, surgeons and endoscopists. Volgograd: VolGMU, 2007 (in Russian).
  3. Доржиев БД. Трихобезоар в хирургической практике по материалам ДХО ГКБСМП им. В.В.Ангапова г. Улан-Удэ. Бюл. ВСНЦ СО РАМН. 2009; 2 (66): 239-40. @@Dorzhiev B.D. Trikhobezoar v khirurgicheskoi praktike po materialam DKhO GKBSMP im. VVAngapova g. Ulan-Ude. Biul. VSNTs SO RAMN. 2009; 2 (66): 239-40 (in Russian).
  4. Baudamant WW. Memoire sur des cheveux trouves dans i'estomac et dans les in-te-stines greles. J Med Chir Pharm 1779; 52: 507-14.
  5. Azenedo S, Lopes J, Marques A et al. Successful endoscopic resciution of a Jorge gastric bezoar in о child. World J Gastroinest Endosc 20l1; 3: 129-32.
  6. Соколов Ю.Ю., Давидов М.И. Редкие наблюдения безоаров у детей. Рос. педиатрический журн. 2006; 1: 54-6. @@Sokolov Iu.Iu., Davidov M.I. Redkie nabliudeniia bezoarov u detei. Ros. pediatric-heskii zhurn. 2006; 1: 54-6 (in Russian).
  7. Соколов Ю.Ю., Давидов М.И. Безоары желудочно-кишечного тракта у детей, Хирургические аспекты педиатрии. 2008; с. 60-5. @@Sokolov Iu.Iu., Davidov M.I. Bezoary zheludochno-kishechnogo trakta u detei, Khi-rurgicheskie aspekty pediatrii. 2008; p. 60-5 (in Russian).
  8. Armstrong JH, Holtnnuller КС, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse. Curr Surg 2001; 58: 202-4.
  9. Tiago Santos et al. Trichophagia and trichobezoar: case report. Clinical practice and epidemiology in mental health. Clin Pract Epidemiol Ment Health 2012; 8: 43-5.
  10. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery 1968; 63: 339-43.
  11. Emre AU, Tascilar O, Karadeniz G et al. Rapunzel syndrome of a cotton bezoar in a multimorbid patient. Clinics (Sao Paulo) 2008; 63: 285-8.
  12. Hirugade ST, Talpallikar MC, Deshpande AV et al. Rapunzel syndrome with a long tail. Ind J Pediatr 2001; 68: 895-6.
  13. Naik S, Gupta V, Rangole A et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24: 157-61.
  14. Gorter RR, Kneepkens CM, Mattens EC et al. Management of trichobezoar: case report and literature review. Pediatr Surg Int 2010; 26: 457-63.
  15. Singla SL, Rattan KN, Kaushik N et al. Rapunzel syndrome: a case report. Am J Gastroenterol 1999; 94: 1970-1.
  16. Shad wan A and Mohammad A. Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointestinal Endoscopy 2000: 7G4-7G6.
  17. Thayumanavan, Rajkumar LK, Kantian M. Rapunzel syndrome-A rare form of trichobezoar. J Digest Endoscopy 2013; 4 (1): 19.
  18. Nirasawa V, Mori T, Ito Y, Tanaka H et al. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33: 663-5.
  19. Marique L, Wirtz M, Henkens A et al. J Gastrointest Surg 2017; 21: 1093.
  20. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant trichobezoar. JSLS 2010; 14: 259-62.
  21. Kanetaka K, Azuma T, Ito S et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg 2003; 38: e7.
  22. Shami SB, Jararaa AA, Hamade A et al. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparose Endosc Pereutan Tech 2007; 17: 197-200.
  23. Yau KK, Siu WT, Law BK et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg 2005: 140: 972-5.
  24. Frey AS, McKee M, King IA et al. Hair apparent: rapunzel syndrome. Am J Psy 2005; 162: 242-3.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2019 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 74329 от 19.11.2018 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies