The cause of abdominal mass in a child with celiac disease: Rapunzel syndrome. A case report

Autor: Yeliz Çağan Appak, Duygu Ertan, Miray Karakoyun, Gonca Özyurt, Tunç Özdemir, Maşallah Baran
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: São Paulo Medical Journal, Iss 0 (2018)
Druh dokumentu: article
ISSN: 1806-9460
1516-3180
DOI: 10.1590/1516-3180.2017.0281141017
Popis: ABSTRACT CONTEXT: Rapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine. CASE REPORT: A 12-year-old girl who had been diagnosed with celiac disease six years earlier was brought to the department of pediatric gastroenterology because of abdominal distension. A palpable mass was detected. A trichobezoar that stretched to the small intestine was removed surgically. The patient was diagnosed as having anxiety and depressive disorder, and treatment started. Following the treatment, her previous trichophagia completely disappeared. CONCLUSION: Presence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.
Databáze: Directory of Open Access Journals