Rapunzel Syndrome Removed with Enteroscopy in a Child
Autor: | Hyun Deok Shin, Sang Woo Chun, Kun Song Lee, Youn Joon Park |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Enteroscopy
medicine.medical_specialty Impaction business.industry Stomach medicine.medical_treatment lcsh:R lcsh:Medicine Single-Balloon Enteroscopy General Medicine medicine.disease Surgery Bezoars 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Single-balloon enteroscopy 030220 oncology & carcinogenesis Laparotomy medicine Duodenum Bezoar 030211 gastroenterology & hepatology Rapunzel syndrome business |
Zdroj: | The Korean Journal of Gastroenterology, Vol 74, Iss 1, Pp 42-45 (2019) |
ISSN: | 2233-6869 1598-9992 |
Popis: | A trichobezoar is a type of bezoar that is composed of hair. In most cases, it is confined to the stomach, but in rare cases, it may extend to the small intestine. This condition is referred to as Rapunzel syndrome. The therapeutic method for bezoar removal depends on its type, location, and size. Generally, the treatment for Rapunzel syndrome involves surgical laparotomy. Endoscopic removal has also been effective in some cases. On the other hand, complications, such as respiratory difficulty and esophageal impaction may be encountered during endoscopic removal. Until now, the successful endoscopic removal of trichobezoars has been limited to the stomach or duodenum. This paper reports the case of a 4-year-old female patient with Rapunzel syndrome whose trichobezoar reached the proximal jejunum. The trichobezoar was removed without complications using an electrosurgical knife and snare through a single-balloon enteroscopy. The trichobezoar can be removed successfully using enteroscopy under general anesthesia without abdominal laparotomy in young children. Therefore, this method of removal can be considered preferentially for children with Rapunzel syndrome. |
Databáze: | OpenAIRE |
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