Recurrent Rapunzel syndrome - a case report. 2003

Sattar A Memon, and Parkash Mandhan, and Javed Naeem Qureshi, and Asif Jamil Shairani
Liaquat University of Medical & Health Sciences, Jamshoro/Hyderabad, Pakistan.

BACKGROUND Rapunzel syndrome is a rare condition and occurs when gastric trichobezoar extends beyond the pylorus into the bowel. Till to date, only thirteen such cases have been reported in literature in paediatric age group. We present an additional case and also report the first recurrence of the Rapunzel syndrome in a child. METHODS Rapunzel syndrome in a 12-year-old girl is presented who also had the recurrence. The pathogenesis, clinical features, diagnosis, treatment and literature are reviewed briefly. CONCLUSIONS Recurrence of Rapunzel Syndrome is very uncommon, and does occur only if the patients are left untreated for their underlying problem. Therefore, to prevent this, a comprehensive management should always be considered.

UI MeSH Term Description Entries
D007077 Ileal Diseases Pathological development in the ILEUM including the ILEOCECAL VALVE. Disease, Ileal,Diseases, Ileal,Ileal Disease
D007443 Intussusception A form of intestinal obstruction caused by the PROLAPSE of a part of the intestine into the adjoining intestinal lumen. There are four types: colic, involving segments of the LARGE INTESTINE; enteric, involving only the SMALL INTESTINE; ileocecal, in which the ILEOCECAL VALVE prolapses into the CECUM, drawing the ILEUM along with it; and ileocolic, in which the ileum prolapses through the ileocecal valve into the COLON. Invagination, Intestinal,Intususception,Intestinal Invagination,Intestinal Invaginations,Intussusceptions,Intususceptions,Invaginations, Intestinal
D007583 Jejunum The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum. Jejunums
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D005260 Female Females
D005774 Gastrostomy Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression. Gastrostomies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D001630 Bezoars Concretions of swallowed hair, fruit or vegetable fibers, or similar substances found in the alimentary canal. Hair Balls,Trichobezoars,Ball, Hair,Balls, Hair,Bezoar,Hair Ball,Trichobezoar
D013270 Stomach An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM. Stomachs

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