Rapunzel Syndrome: Myth or Reality

Authors

  • Javier Riveros Hospital Universitario Nacional de Colombia
  • Martín Alonso Gómez Zuleta Universidad Nacional de Colombia
  • Javier Francisco Estarita Guerrero Fundación Sinergia

DOI:

https://doi.org/10.22516/25007440.402

Keywords:

Endoscopy, stomach, bezoar, trichobezoar, Rapunzel, surgery, anxiety

Abstract

A 35-year-old patient was admitted to the emergency department of a third-level hospital following six months of early satiety and weight loss. Upon physical admission, the patient had signs of malnutrition. Upper digestive tract endoscopy found a trichobezoar that occupied the entire gastric chamber and extended into the third portion of the duodenum. This diagnosis was confirmed by an abdominal CT scan. Surgery confirmed the diagnosis of Rapunzel Syndrome. Following surgery the patient’s evolution was good and symptoms resolved. Nutritional and psychological interventions were initiated to manage malnutrition and an underlying psychiatric disorder.

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Author Biographies

Javier Riveros, Hospital Universitario Nacional de Colombia

Especialista de gastroenterología, Universidad Nacional de Colomba, Especialista en medicina interna, Pontificia Universidad Javeriana.

Martín Alonso Gómez Zuleta, Universidad Nacional de Colombia

Profesor asociado de gastroenterología. Gastroenterólogo en Hospital Universitario Nacional, Hospital Occidente de Kennedy, Unidad de gastroenterología y Ecoendoscopia-UGEC. Bogotá, Colombia.

Javier Francisco Estarita Guerrero, Fundación Sinergia

Fellow de Gastroenterología, Universidad Nacional de Colombia, Especialista en Medicina Interna, Hospital Universitario Nacional. Bogotá, Colombia.

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Figura 1. TAC de abdomen con doble contraste.

Additional Files

Published

2020-07-03

How to Cite

Riveros, J., Gómez Zuleta, M. A., & Estarita Guerrero, J. F. (2020). Rapunzel Syndrome: Myth or Reality. Revista Colombiana De Gastroenterología, 35(2), 207–211. https://doi.org/10.22516/25007440.402

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Section

Case report

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