The cause of abdominal mass in a child with celiac disease

Rapunzel syndrome. A case report

Autores

Resumo

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 pa-tient 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.

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Biografia do Autor

Yeliz Çağan Appak, Tepecik Training and Research Hospital

MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey

Duygu Ertan, Tepecik Training and Research Hospital

MD. Pediatric Assistant, Department of Pediatrics, Tepecik Training and Research Hospital, İzmir, Turkey

Miray Karakoyun, Tepecik Training and Research Hospital

MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey

Gonca Özyurt, Tepecik Training and Research Hospital

MD. Assistant Professor, Department of Child and Adolescent Psychiatry, Tepecik Training and Research Hospital, Izmir Katip Celebi University School of Medicine, İzmir, Turkey

Tunç Özdemir, epecik Training and Research Hospital

MD. Associate Professor, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir Katip Celebi University School of Medicine, İzmir, Turkey.

Referências

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Publicado

2019-06-06

Como Citar

1.
Appak Y Çağan, Ertan D, Karakoyun M, Özyurt G, Özdemir T. The cause of abdominal mass in a child with celiac disease: Rapunzel syndrome. A case report. Sao Paulo Med J [Internet]. 6º de junho de 2019 [citado 10º de março de 2025];137(3):292-4. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/882

Edição

v. 137 n. 3 (2019)

Seção

Relato de Caso

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Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.