Recurrent trichobezoar in a patient with Rapunzel syndrome

Joanna Godlewska, Department of Paediatric Surgery, Jagiellonian University Medical College, University Children Hospital, Kraków, Poland, Justyna Orpiszewska, Wojciech Górecki, Department of Paediatric Surgery, Jagiellonian University Medical College, University Children Hospital, Kraków, Poland, Department of Paediatric Surgery, Jagiellonian University Medical College, University Children Hospital, Kraków, Poland
2021 Pediatria i Medycyna Rodzinna  
Rapunzel syndrome is a condition where a trichobezoar is formed in the stomach and proximal intestine due to hair ingestion. A 6-year-old girl presented to emergency department with abdominal pain, vomiting and a palpable epigastric mass. Laparotomy was performed for gastric foreign body; a trichobezoar that filled the stomach, duodenum and proximal small intestine was removed. Postoperative course was uncomplicated; the patient was discharged for further out-patient follow-up and psychological
more » ... care. After 7 months, the girl presented with a recurrence. A recurrent trichobezoar was removed via laparotomy. The girl was started on psychiatric treatment and iron substitution for anaemia. Ten weeks after discharge, follow-up gastroscopy was negative for gastric foreign body. There are no guidelines for follow-up after trichobezoar removal. Since the disease may be recurrent, follow-up endoscopy should be considered in order to enable an early diagnosis and less invasive treatment.
doi:10.15557/pimr.2021.0010 fatcat:z74tkc45bbgdxpun3wala2msvm