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Case Reports
. 2023 Feb 28;15(2):e35597.
doi: 10.7759/cureus.35597. eCollection 2023 Feb.

Acute Case of Trichobezoar Diagnosed From Computed Tomography and 3D Images: Rapunzel Syndrome Re-examined

Cynthia Kyin  1 , Pushpak Patel  2 , Adela Casas-Melley  3 , Wael M Abdalla  4 , Tamarah Westmoreland  5   3
Affiliations
Case Reports

Acute Case of Trichobezoar Diagnosed From Computed Tomography and 3D Images: Rapunzel Syndrome Re-examined

Cynthia Kyin et al. Cureus. .

"VSports app下载" Abstract

A trichobezoar is a rare cause of abdominal pain due to an indigestible mass in the gastrointestinal tract that is composed of a patient's hair. If a trichobezoar grows and extends from the gastric body to the pylorus and into the small bowel, it is considered Rapunzel syndrome. We present a case of an 11-year-old female patient with Rapunzel syndrome who presented with four weeks of colicky abdominal pain, vomiting, constipation, and severe malnutrition. Computed tomography of the abdomen and pelvis with 3D rendering demonstrated a large bezoar, and the patient was successfully treated with exploratory laparotomy, gastrostomy, and removal of the trichobezoar intact VSports手机版. .

Keywords: 3d ct scan; gastric bezoar; pediatric lap. surgery; rapunzel syndrome; trichotillomania. V体育安卓版.

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Conflict of interest statement (VSports手机版)

The authors have declared that no competing interests exist.

"V体育安卓版" Figures

Figure 1
Figure 1. Computed tomography images - coronal (A), axial (B) and sagittal (C) views of abdomen showing stomach bezoar (red arrows) extending through entire stomach (green arrows).
Figure 2
Figure 2. (A) 3D rendered image of surrounding organs and intestine showing stomach bezoar (blue) in the stomach (green) (B) isolated 3D rendered image of stomach bezoar (blue) within the stomach wall (green)
Figure 3
Figure 3. (A) Large gastric trichobezoar removed from the stomach. (B) Second fragment of the trichobezoar which extended through the pylorus.
See this image and copyright information in PMC

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