Document Detail


Rapunzel syndrome in a pediatric patient: a case report.
MedLine Citation:
PMID:  22586880     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
This case report describes a 2.5-year-old girl who was hospitalized with complaints of abdominal pain and vomiting for 2 days. Abdominal ultrasound revealed small bowel-to-small bowel intussusception. Diagnostic laparoscopic-assisted exploration of the abdomen revealed 4 separate intestinal intussusceptions along with multiple dark intraluminal masses within the small intestine. Laparoscopic reduction of the intussusceptions was unsuccessful. Laparotomy allowed palpation of the entire small intestine with extraction of the masses, which were found to be human hair (trichobezoars). The intussusceptions were reduced, and the multiple masses were removed through a single enterotomy. The child recovered following surgery and was discharged home to her family. The surgeon counseled the parents before discharging the patient and recommended follow-up counseling for their child. The parents were given information about trichophagia and strategies to reduce the behavior in their child. A comprehensive literature review revealed this to be the youngest reported case of intussusception and Rapunzel syndrome due to trichobezoars.
Authors:
Elizabeth Middleton; Lynn Fitzgerald Macksey; J Duncan Phillips
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  80     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-05-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  N    
Affiliation:
Duke Raleigh Hospital, Raleigh, North Carolina, USA. toomescrna@gmail.com
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