Rapunzel syndrome: A case report; [Rapunzel sendromu: Olgu sunumu]
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Date
2007
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Abstract
Bezoars are rare and often reported in patients with some psychiatric disorders. The Rapunzel syndrome is a rare form of gastric trichobezoar with a tail like extension into the intestine. 12 year old girl applied to the clinic with abdominal firmness. She was treated for alopecia areate one year ago. A firm, mobile and approximately 20 cm. diameter epigastric mass was palpated. A massively enlarged, firm stomach was encountered at surgical exploration. Gastrotomy revealed a large trichobezoar, which was taken out totally. She was referred to a child psychiatrist for assessment and therapy. Her diagnosis was major depression. In conclusion, trichophagy must be considered in children who suffer alopecia and psychiatric support must be provided.