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Successful Laparoscopic Removal of a Huge Trichobeozar in Cases of Rapunzel Syndrome in Children

Journal of Acute Care Surgery 2021년 11권 1호 p.39 ~ 42
강석경, 김수홍, 조용훈,
소속 상세정보
강석경 ( Kang Seok-Kyung ) - Pusan National University Yangsan Hospital Department of Surgery
김수홍 ( Kim Soo-Hong ) - Pusan National University Yangsan Hospital Department of Surgery
조용훈 ( Cho Yong-Hoon ) - Pusan National University Yangsan Hospital Department of Surgery

Abstract


Rapunzel syndrome is a very rare condition. The trichobezoar, in cases of Rapunzel syndrome, extend from the stomach into the duodenum and small bowel. Trichobezoars are usually encountered in young women with psychiatric problems, such as trichotillomania, trichophagia, or mental retardation and pica. Large trichobezoars, which are associated with Rapunzel syndrome, are removed during open surgery which requires large incisions. This Case Report describes 2 girls who had Rapunzel syndrome where the trichobezoars reached the jejunum and laparoscopic surgery was successful in the removal of the trichobezoars. Laparoscopic removal of a trichobezoar can be considered as a treatment option for children with Rapunzel syndrome.

키워드

bezoar; children; laparoscopy; Rapunzel syndrome; trichobezoar

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