A RARE CASE OF RAPUNZEL SYNDROME VARIANT.

Corresponding Author:
Dr. S. Chitra,
Associate Professor,
Department of Surgery,
Madurai Medical College,
Government Rajaji Hospital.
E-mail: chitra.madurai@gmail.com

ABSTRACT

BACKGROUND

We are presenting a rare case of simultaneous occurrence of gastric and ileal trichobezoar presenting with intestinal obstruction.

Case Report- A 17-year-old female presented with intestinal obstruction due to multiple trichobezoars, gastric and ileal, which were removed successfully by exploratory laparotomy. Gastric and ileal trichobezoar presenting as intestinal obstruction makes this case rare and interesting. In this patient in view of the clinical history of trichophagia, radiological imaging studies showed features suggestive of intestinal obstruction due to trichobezoar. Exploratory laparotomy done revealed simultaneous gastric and ileal trichobezoar which were successfully removed.

CONCLUSION

These cases emphasise the importance of careful clinical history, role of radiological studies including USG, CT abdomen, complete intraoperative evaluation of intestine at the time of dealing with a gastric and ileal trichobezoar in diagnosis of trichobezoar.

KEYWORDS

Trichobezoar, Rapunzel.