Über 7 Millionen englischsprachige Bücher. Jetzt versandkostenfrei bestellen Riesenauswahl an Markenqualität. Rapunzels gibt es bei eBay Rapunzel syndrome is the term for a trichobezoar (gastric 'hair ball') which has a tail-like extension into the small bowel through the pylorus causing gastric outlet obstruction. For discussion of other gastrointestinal foreign bodies, please see: bezoars
Trichobezoars are a bizarre medical problem, and Rapunzel syndrome is an extremely uncommon variety. The diagnosis of trichobezoar is possible on imaging in a proper clinical setting. However, Rapunzel syndrome is most often an intraoperative finding The term Rapunzel syndrome is used to describe a rare complication of trichobezoar formation. Namely, it refers to a large trichobezoar completely filling the stomach and extending to the duodenum and possibly the jejunum or even colon through the pylorus The Rapunzel syndrome is a trichobezoar with a long tail extending from the stomach to small bowel
Rapunzel syndrome is a rare condition, first described by Vaughan et al in 1968 as a large, gastric trichobezoar that extends from the stomach through the duodenum and jejunum, and potentially to the ileo-cecal junction. 1 The term, Rapunzel syndrome, derives from a fairy tale, written in 1812 by the Brothers Grimm, telling of the long. Rapunzel Syndrome: Sonography and Computed Tomography of Trichobezoar Andre Tjie Wijaya, MD, 1 and Budiawan Atmadja, MD 2 1 Department of Radiology, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia.: 2 Department of Radiology, PGI Cikini Hospital, Jakarta, Indonesia Rapunzel Syndrome Aashini Patel 7/21/2020 RAD 4003 Pedi Elective Dr. Susan Greenfield. McGovern Medical School Clinical History 7 yo female who presented with episodic bilious vomiting, abdominal pain for 1 wee Author information: (1)Section of Radiology, University Hospital of the West Indies, Mona, Kingston 6, Jamaica, West Indies. The CT appearances of an unusual type of trichobezoar which causes the Rapunzel syndrome are described. This syndrome is characterized by intestinal obstruction secondary to a bezoar possessing a tail which extends to or.
The Rapunzel syndrome. A case report and review of the literature Eur J Pediatr Surg 3 (1993) 171-173 4. Medline: Vaughan,E.D.,J.L.Sawyers,H,W.Scott Rapunzel syndrome: An unusual complication of intestinal bezoar Surgery 63: 339-343 : Keywords The swallowed hairs are accumulated inside the stomach with subsequent formation of a hair ball that sometimes extends through the pyloric sphincter into the duodenum and proximal jejunum which is called Rapunzel syndrome A bezoar refers to a mass of undigestible foreign material found in the gastrointestinal tract, mainly stomach. The second most common bezoar is the trichobezoar, which usually occurs in the young psychiatric female patients with history of trichotillomania and trichophagia. This is a case report of
Rapunzel syndrome Rapunzel syndrome Crawley, Alexis; Guillerman, R. 2010-10-10 00:00:00 Pediatr Radiol (2010) 40 (Suppl 1):S100 DOI 10.1007/s00247-010-1864-7 CLINICAL IMAGE Alexis J. Crawley & R. Paul Guillerman Received: 30 July 2010 /Revised: 18 September 2010 /Accepted: 21 September 2010 /Published online: 10 October 2010 # Springer-Verlag 2010 A 12-year-old girl with mental retardation and. Rapunzel syndrome is very rare gastric foreign bodies that occur in children. It is a severe condition of a gastric trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large (7 × 7 × 30 cm) gastric trichobezoar
of Rapunzel syndrome. Psychiatrist referral is a must in suspected individuals. Conclusion We described a very rare variety of trichobezoar, the Rapunzel syndrome in association with SMA syndrome which is an extremely uncommon. The diagnosis of Rapunzel syndrome with SMA syndrome on imaging was possible only because o Rapunzel syndrome is a rare manifestation of gastric trichobezoars with strands of hair extending beyond the pylorus into the small intestine, and occasionally up to the colon. So far, only 29 cases of Rapunzel syndrome have been reported in the literature worldwide, with the first case described in 1968 (1) of Radiology, AFIP 2621591 Rarely trichobezoars extend beyond the stomach into the bowel (a condition known as Rapunzel syndrome). Often they are difficult to diagnose, but some symptoms include cramps, bloating, loss of appetite, weight loss, and bad breath Rapunzel syndrome. Trichobezoar, or Rapunzel syndrome, occurs when swallowed hair collects in the stomach, which can develop into hairballs and reach the small intestine or beyond. This extremely rare condition is a type of bezoar—in this case, an accumulating mass of indigestible hair—which results in gastric outlet obstruction
Rapunzel syndrome: A fanciful term for the symptoms of a massive trichobezoar caused by trichotillomania and trichophagia, which occurs mainly in female psychiatric or mentally retarded patients Imaging Mass lesion, usually gastric with 'strands' of hair extending into upper small intestine Lab Hypochromic microcytic anaemia—hair chelates iron. Pediatric Radiology volume 40, Rapunzel syndrome is a rare disorder characterized by a trichobezoar extending from the stomach through the small bowel, and is most often observed in young women with mental disorders and trichophagia . In the appropriate clinical setting,. Clinical Radiology, Vol. 54, No. 4 The Rapunzel syndrome: case report and review of the literature 21 September 2013 | Pediatric Surgery International, Vol. 11, No.
Trichobezoar - A Case Report of Rapunzel Syndrome S. Shanmuga Jayanthan1 1Consultant Radiologist, Department of Radiology and Imaging Sciences, Meenakshi hospital, Tanjore - 613005, Tamil Nadu, India Corresponding author: Dr. S. Shanmuga Jayanthan, 27, Third Cross Street, Subbaiya Pillai Nagar, Ammal Sathiram, Karaikal - 609604, Indi Introduction: Rapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical. Case report: A 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail A Rare Case o f Rapunzel Syndrome Dr Gaurav Mutha 1*, Dr. Ila Desa 1 Third year resident, 2 Professor , Department of Radiology, B. J. Medical College and Civil hospital, Ahmedabad. Abstract: Rapunzel syndrome is a rare presentation occuring predominantly girls with psychiatric or emotional disorder Summary Background Rapunzel syndrome is a rare and unique form of trichobezoar, in which a cast of hairs is formed in the stomach with its 'tail' extending up to varying lengths into the small bowel. Almost all cases described in literature are of 'classic' and more common form of Rapunzel. Sometimes however, the tail of bezoar is broken into smaller fragments The Rapunzel syndrome refers to an uncommon and rare form of trichobezoar that extends past the stomach into the small intestines. The Rapunzel syndrome is usually found in young female patients with a history of psychiatric disorders, mainly trichotillomania and trichophagia. We describe a case of Rapunzel syndrome in a 15-year-old girl who presented with abdominal pain, vomiting, and weight.
While rare, the formation of trichobezoars is the most serious complication of trichotillomania. Case reports of children with trichobezoars or Rapunzel syndrome are sparse, and many link the trichophagia either to early childhood deprivation or abuse (7, 10, 21), psychiatric comorbid conditions (21, 22), or mental retardation (23, 24) Rapunzel syndrome is a rare compulsive psychological disorder that must be considered while diagnosing patients with psychiatric comorbidity and a history of trichotillomania or trichophagia. The doctor may diagnose Rapunzel syndrome by imaging studies, and one of the accurate and direct diagnostic methods is endoscopy Rapunzel syndrome grade I° due to trichobezoar Forearm shaft fracture, left ( with radial shaft fracture and greenstick fracture of the ulna) Vein of Galen Malformation Teratoma of the parotid gland Persistent urachal tract Fibrolamellar liver carcinoma in the childhood Testicular microlithiasi Rapunzel syndrome Findings Abdominal radiograph distended stomach shadow with an intragastric mottled gas pattern, outlined by fundal gas CT intragastric well-circumscribed inhomogenous mass consisting of 'mottled gas pattern' or 'compressed concentric rings' pattern normal stomach wall can be traced completely separate from the lesion no contrast enhancement free fluid pelvis
58 Rapunzel Syndrome and Small Bowel Intussusceptions Raghu et al. Journal of Gastrointestinal and Abdominal Radiology ISGARVol. 1 No. 12018 small intestine like a tail, it is referred to as the Rapunzel syn-drome, a rare form of trichobezoar.1 Rapunzel syndrome has usually been described in association with ingested human hair Rapunzel syndrome is a bizarre presentation of trichobezoar which is named after a princess with long tresses in a fairy tale written by Grimm brothers in 1812. The syndrome was first described by Vaughan in 1968 . The criteria for defining Rapunzel syndrome has been used variably by different investigators The diagnosis of Rapunzel syndrome may be suspected from an abdominal radiograph that shows Figure 2 - Abdominal CT, after an oral contrast, in the supine position, a mottled mass. Barium examination may reveal an showing non-adherent mass at the level of the antrum and extending to the pylorus (white lines ) West WM, Duncan ND. CT appearances of the Rapunzel syndrome: An unusual form of bezoar and gastrointestinal obstruction. Pediatr Radiol. 1998;28:315-316. Krol CM, Karol I, Khalil H, Shah S. Small-bowel obstruction due to migratory trichobezoar in a child: CT diagnosis. AJR Am J Roentgenol. 2001;177:255-256 Rapunzel Syndrome and Small Bowel Intussusceptions Due to a Cotton Thread Bezoar: A Case Report December 2018 Journal of Gastrointestinal and Abdominal Radiology 01(01):056-05
. The syndrome usually causes intestinal obstruction but we report a unique case where it has caused appendicitis. We also reviewed the existing literature on Rapunzel syndrome Rapunzel syndrome is an extremely rare condition associated with trichophagia (hair eating disorder) secondary to a psychiatric illness called trichotillomania (hair-pulling behaviour). It is most. Rapunzel syndrome is a very rare form of trichobezoar characterized by extension of the ingested hair from the stomach into the small intestine or even beyond. Clinical presentation can range from an asymptomatic abdominal mass to severe symptoms: gastric outlet obstruction, perforation of the stomach, and acute pancreatitis
RAPUNZEL SYNDROME - An ultrasound diagnosis Reviewed by Sumer Sethi on Wednesday, April 25, 2012 Rating: 5 Secrets of Diffusion-For Radiology Resident Wednesday, April 25, 201 Rapunzel syndrome is an extremely uncommon variant of Trichobezoar. It is also an uncommon cause of bowel obstruction, especially in young females. Pre-operative diagnosis of this condition is possible by imaging modalities especially Computed Tomography with oral contrast. Surgery is the mainstay in treatment Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background. gastroduodenal junction, the so-called Rapunzel syndrome. The classification of the bezoar depends on the material involved. The most common type is a phytobezoar, composed out of plant components. A trichobezoar, as in our case, is composed mainly out of hair. A trichobezoar is typically seen in young women
Thieme E-Books & E-Journal Rapunzel syndrome is a rare variant of trichobezoar in the stomach extending from the stomach into the small intestine. Surgical removal is the optimal method of treatment. Many patients have psychiatric pathology with emotional problems, family discord, and a history of neglect, abuse, or mental retardation
The first reference to a bezoar in Western countries was reported in 1779 during an autopsy of a patient who died from gastric perforation and peritonitis. [3, 4] It is also called Rapunzel syndrome, mainly reported in women (>95% of cases), however, 2 men have also been reported, which may be attributed to the traditionally long hair in women  A case of small-bowel obstruction secondary to ileal trichobezoar in a patient with Rapunzel syndrome is herein described. Case Presentation A 15-year-old female patient presented to the emergency department of our hospital with generalized cramping abdominal pain, nausea, and vomiting up to 3-5 times a day, and constipation during the. Rapunzel Syndrome: Doctors remove half kg human hair, empty shampoo packets from girl's stomach By Hina Zahid Published On 2020-01-29T13:22:06+05:30 | Updated On 29 Jan 2020 7:52 AM GMT Coimbatore: City doctors here came across what might be a rare case of eating hair known as Rapunzel Syndrome or Trichophagia which can be can be associated. The Rapunzel syndrome describes a disorder in which a significant amount of hair is swallowed, forming a trichobezoar that extends past the stomach into the small intestines. Given the indigestible nature of hair, it subsequently leads to obstruction within the gastrointestinal system. Clinically, patients may present with symptoms of gastrointestinal obstruction, including abdominal.
Rapunzel Syndrome-CT Wednesday, November 30, 2011 Bezoar is a tightly packed collection of undigested material that is unable to exit the stomach, Most bezoars are of indigestible organic. If the address matches an existing account you will receive an email with instructions to reset your passwor
Abstract. Trichobezoar is a term used to describe trapped hairball masses seen in gastrointestinal tract of, commonly, young adolescent females with underlying psychiatric illness . 78, No. 10 A report of 15 cases of small-bowel obstruction secondary to phytobezoars: Predisposing factors and diagnostic difficultie Although Rapunzel syndrome is an extremely rare disease, it should be considered when diagnosing young women, especially those with a history of trichophagia or trichotillomania. After the surgical removal of trichobezoars by laparotomy, long-term follow-up combined with psychiatric consultation is
Background: Rapunzel syndrome is an extremely rare form of trichobezoar extending from the stomach to the small intestine and sometimes even beyond the ileocecal valve. Approximately 50 cases of Rapunzel syndrome have been reported in the literature, and most of them being young women. The aim of this study was to review the clinical features and outcome of pediatric patients with Rapunzel. Das Rapunzel-Syndrom Chirurg 2003 74:753-756 2. Medline: M.K.Sanders Bezoars: From mystical charms to medical and nutritional management Practical Gastroenterology 13 2004 3. Medline: Balik,E.,I.Ulman,C.Taneli,M.Demircan The Rapunzel syndrome. A case report and review of the literature Eur J Pediatr Surg 3 (1993) 171-173 4. Medline Rapunzel syndrome diagnosis is made by endoscopic examination and radiography imaging. Upper gastrointestinal (GI) endoscopy can provide information about the structure of the mass. The Computed tomography (CT) investigation can Reveal the existence, localization, and distribution of the bezoars [ 9 ] e Rapunzel syndrome refers to an uncommon and rare form of trichobezoar that extends past the stomach into the small intestines. e Rapunzel syndrome is usually found in young female patients with a history of psychiatric disorders, mainly trichotillomania and trichophagia Rapunzel Syndrome is an uncommon presentation of trichobezoar, involving strands of swallowed hair extending as a tail through the small intestine, beyond the stomach. This was first described in 1968 and until 2003 only thirteen cases have been reported. A 55-year old man of East Indian descent presented to the surgical team via the emergency department in Trinidad, West Indies, with an acute.
2 Head, Department of Radiology-CDA Hospital, Islamabad 3 Director Children Hospital, PIMS, Islamabad Abstract Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair ball into the small bowel. It is seen in adolescent girls with neuropsychiatric disorders. We present a 13 years old girl with rapunzel syndrome The diagnosis of a peritonitis by gastric perforation, secondary to a trichobezoar was retained and confirmed by the surgeon (Fig. 5). Discussion. Trichobezoar is a rare entity, typically seen in patients suffering from trichophagia. It affects 1% of the general population (mostly females). It is a concretion of undigested hair and / or fibers. Rapunzel Syndrome Aashini Patel MS4, Greenfield MD, Pedi July 2020. Subcutaneous Emphysema, Annika Medhus MS4, Bande MD, thoracic July 2020. Traumatic Arm injury, Justin Tran MS4, Bilow MD, ER July 2020 . CASE PRESENTATIONS 2019-2020. Womens' Imaging Ruptured Ectopic Pregnancy, Trinh Tammy MS4, P Bawa M
Trichobezoars are composed of hair and are most common in women and psychiatric patients, often those with long hair. When the hair extends from the stomach into the small and/or large bowel this has been termed Rapunzel syndrome ( Fig. 13-11 ). Phytobezoars are composed of fruit or vegetable matter, commonly oranges and persimmons This is a 15 year old female patient complaining of chronic pain in epigastric region. Her mother gave a positive history of seeing hairs in her mouth during wake-up time. [ July-August 2020. Vol 49, No. 4. Radiologists Can Thrive in the Midst of COVID-19 — and Beyond ; Editorial: We Will Not Be Silent; SA-CME MRI Screening for Hepatocellular Carcinoma; Fluoroscopically Guided Bone Marrow Biops
. Here, we present a case of a 13-year-old girl with this rare syndrome and discuss the diagnosis and treatment of the diseas in the case of Rapunzel syndrome, surgical gastrotomy is o entimes recommended because of the extent of gastroin-testinal involvement by the bezoar. Infection, bleeding, and leakage of gastric contents from the suture line are problems that may occur following surgical intervention. 4. Conclusion Rapunzel syndrome is an uncommon disorder, which. Rapunzel syndrome with trichobezoars extending as distal as the transverse colon.7 Gastroparesis is a risk factor for developing gastric bezoars. Patients with diabetes, end-stage renal disease, prior gas-tric surgery, and patients on mechanical ventilation are all a Thursday, April 26, 2012 Neuroradiology , superior sagittal sinus thrombosis. This is a 55 year old person with loss of flow void in relation to the superior sagittal sinus consistent with thrombosis. MR equivalent of the delta sign. On Day 2 Follow up MRI & MRV, the findings are confirmed Rapunzel syndrome, however, is a rare form of trichobezoar extending from the stomach to the small intestine. In this paper, we present a rare case of 15-year old girl diagnosed with Rapunzel syndrome on admission due to abdominal pain and abdominal mass. J Clin Exp Invest 2016; 7 (1): 87-90. Key words: Rapunzel syndrome, trichobezoar, abdomen mas
Chondroblastoma-MRI. Thursday, April 12, 2012 bone tumour , chondroblastoma , Musculoskeletal MRI , Musculoskeletal radiology. 14 year old young male present with Pain in the knee joint with no history of trauma. X-ray revealed an ill defined lucency in the tibial epiphysis. MRI shows a relatively, well defined, regular , heterogeneously. Rapunzel syndrome is a very extreme form of trichobezoar formation, where the tail of the trichobezoar extends from the stomach into the small intestine. 2. Case report. A 3 years and 10 months old girl was brought to a family doctor by her mother and aunt. At the time of arrival the child was unconscious and had a Glascow coma score of 3 . Bhandarwar AH, Bakhshi G, Nandu B. Rapunzel syndrome with gastric perforation in an adult. Digestive Endoscopy 2007; 20: 37-40. Anzieta VJ, Felmer E O, Gabrielli N M, Venturelli M F, Sanchez C G, Torrijos CC. Obstrucción intestinal causada por Tricobezoar: Síndrome de Rapunzel. Rev Med Chil 2008; 136: 1027-1030 endoscopic removal has also been described. We report the case of a 9-year-old-girl with undiagnosed coeliac disease and Rapunzel syndrome who underwent endoscopic removal of a large trichobezoar, which was followed by unexpected multiple perforations of the small bowel and stomach. Argon plasma coagulation (APC) and snare electrocautery were employed during endoscopy to remove the. Superior mesenteric artery syndrome in children: a 20-year experience. J Pediatr Gastroenterol Nutr 2006;42(5):522-5 Get full text Find similar topics on :: Scholar:: Radiology search engine 5. Reece K, Day R, Welch J. Superior Mesenteric Artery Syndrome with Abdominal Compartment Syndrome. Case Rep Emerg Med 2016;2016:7809281 Get full tex
The Journal of Gastrointestinal and Abdominal Radiology (ISGAR) aims to be at the forefront of abdominal imaging, affirming classic and proven diagnostic pathways while disrupting and dismantling misconceptions that have stood undisputed for decades. Vineetha Raghu, Anita N. Nagadi, Ashwini Chethan Kumar Rapunzel Syndrome and Small Bowel. An abdominal radiograph was then obtained, which revealed a large amount of abnormal mixed attenuated material in the stomach, extending into the bowels at the level of the left paramedian mid-abdomen and right lower quadrant, suggestive of bezoar associated with Rapunzel syndrome (Figures 1 and 2). Figures 1 and 2 The Journal of Gastrointestinal and Abdominal Radiology (ISGAR) aims to be at the forefront of abdominal imaging, affirming classic and proven diagnostic pathways while disrupting and dismantling misconceptions that have stood undisputed for decades. Ashwini Chethan Kumar Rapunzel Syndrome and Small Bowel Intussusceptions Due to a Cotton. tytuł: Rapunzel syndrome : rare 'tale' of a broken 'tail' autor: Chauhan Narvir S., Kumar Satish, Bhoil Rohit: tytuł czasopisma