scholarly journals Rapunzel syndrome resulting in gastric perforation

2016 ◽  
Vol 98 (1) ◽  
pp. e6-e7 ◽  
Author(s):  
JS Parakh ◽  
A McAvoy ◽  
DJ Corless
Keyword(s):  
Gastric Perforation ◽  
Postoperative Recovery ◽  
Patch Repair ◽  
Free Fluid ◽  
Proximal Jejunum ◽  
Rapunzel Syndrome ◽  
Omental Patch ◽  
History Of ◽  
Entire Stomach

We report the case of an 18-year-old female patient with no past medical history who presented to the emergency department with acute abdominal pain and vomiting on the background of a long history of ingesting hair (trichophagia). Computed tomography revealed pneumoperitoneum and free fluid in keeping with visceral perforation. In addition, a large hair bolus was seen extending in contiguity from the stomach to the jejunum. A laparotomy was performed, revealing an anterior gastric perforation secondary to a 120cm long trichobezoar, which had formed a cast of the entire stomach, duodenum and proximal jejunum. The bezoar was removed and an omental patch repair to the anterior ulcer was performed. The patient made an excellent postoperative recovery and was discharged home with psychiatric follow-up review.

scholarly journals Rapunzel syndrome causing partial gastric outlet obstruction requiring emergency laparotomy

2020 ◽  
Vol 13 (1) ◽  
pp. e232904
Author(s):  
Robert Lyons ◽  
Granit Ismaili ◽  
Michael Devine ◽  
Haroon Malik
Keyword(s):  
Ct Scan ◽  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Postoperative Recovery ◽  
Emergency Laparotomy ◽  
Rapunzel Syndrome ◽  
History Of

A 16-year-old girl with a background of childhood trichophagia presented with a 2-day history of epigastric pain and associated anorexia with vomiting. An epigastric mass was palpable on examination. A CT scan revealed an intragastric trichobezoar, extending into the duodenum consistent with Rapunzel syndrome with evidence of partial gastric outlet obstruction and a possible perforation. The patient underwent an urgent laparotomy and extraction of the trichobezoar. The bezoar was removed without complication and no intraoperative evidence of perforation was detected. After an uncomplicated postoperative recovery, she was discharged home with psychiatric follow-up.

A Case of Successful Endovascular Aortic Repair of Primary Aortoenteric Fistula Without Aortic Explantation

2022 ◽  
pp. 152660282110677
Author(s):  
Joshua Winston ◽  
Thomas Lovelock ◽  
Thomas Kelly ◽  
Thodur Vasudevan
Keyword(s):  
Endovascular Aortic Repair ◽  
Aortoenteric Fistula ◽  
Patch Repair ◽  
Oral Antibiotics ◽  
Omental Patch ◽  
Oral Fluconazole ◽  
Infrarenal Aortic Aneurysm ◽  
The Third ◽  
Aortic Repair ◽  
History Of

Purpose: The objective of this study is to report a case of a primary aortoenteric fistula successfully treated with endovascular repair without aortic explant. Case Report: A 48-year-old man presented with a 24-hour history of hematemesis and malena. A computed tomography (CT) abdomen and pelvis demonstrated a 6 cm infrarenal aortic aneurysm with periaortic stranding and contrast enhancement within the lumen of the third part of the duodenum. The patient underwent emergency Endovascular Aortic Repair (EVAR). The patient was discharged on day 8 of his admission on oral antibiotics. He returned 7 weeks postindex procedure and underwent a laparotomy with omental patch repair of the aortic defect. Intraoperative cultures grew candida albicans, and the patient was discharged on lifelong oral Fluconazole and Amoxycillin-Clavulanic Acid. At 18 months postoperatively, the patient was clinically stable with improved appearances on CT aortogram. Conclusion: We discuss the use of EVAR without aortic explant as a possible treatment option in the management of patient with primary aortoenteric fistulae. This may potentially avoid the significant morbidity and mortality associated with aortic explant in suitable candidates without perioperative signs of sepsis.

scholarly journals Gastric schwannoma: a case report and literature review

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095782
Author(s):  
Changsheng Pu ◽  
Keming Zhang
Keyword(s):  
Wedge Resection ◽  
Postoperative Recovery ◽  
Postoperative Treatment ◽  
Laparoscopic Wedge Resection ◽  
Case Presentation ◽  
Gastric Tumors ◽  
Gastric Schwannoma ◽  
History Of ◽  
Upper Abdominal

Background Gastric schwannoma is a rarely seen gastric tumor accounting for only 0.2% of all gastric tumors. It is difficult to distinguish a gastric schwannoma from other gastric tumors preoperatively. Case presentation: A 30-year-old man with no significant medical history or physical examination findings presented with a 1-month history of right upper abdominal discomfort. The preoperative diagnosis was a gastrointestinal stromal tumor, but the postoperative pathologic and immunohistochemical examinations confirmed a gastric schwannoma. The patient underwent laparoscopic wedge resection of the stomach without additional postoperative treatment, and his postoperative recovery was uneventful. No recurrence or metastasis was found at the 2-year follow-up examination. Conclusion Although gastric schwannomas are usually not malignant, they are difficult to distinguish from other malignant stromal tumors preoperatively. Surgical resection should be recommended when a schwannoma is malignant or considered to be at risk of becoming malignant.

Native Pulmonary Valve Restoration Late Following Transannular Patch Repair of Tetralogy of Fallot

2021 ◽  
pp. 215013512098105
Author(s):  
Oleg Fedevych ◽  
Ramana Dhannapuneni ◽  
Rafael Guerrero ◽  
Attilio Lotto
Keyword(s):  
Tetralogy Of Fallot ◽  
Pulmonary Valve ◽  
Anterior Commissure ◽  
Previous History ◽  
Patch Repair ◽  
Transannular Patch ◽  
Initial Surgery ◽  
History Of ◽  
Easy Operation

We present a surgical case of native pulmonary valve (PV) restoration in a 16-year-old boy with a previous history of transannular patch repair of tetralogy of Fallot in infancy. The PV was restored by approximation of split anterior commissure in the presence of developed and pliable leaflets well preserved after initial surgery. Postoperative echocardiogram showed a competent valve with peak velocity of 2.8 m/s. At six-week follow-up, the patient remained well, and echocardiogram demonstrated a competent PV with decreased velocity of 2.1 m/s across it. We encourage a mindful preservation of PV leaflets whenever it is possible at time of initial repair to implement this relatively easy operation to restore PV function later in life.

scholarly journals Unusual trichobezor of stomach and intestines as a manifestation of Rapunzel syndrome: a rare case report

2019 ◽  
Vol 6 (12) ◽  
pp. 4569
Author(s):  
Tejinder Pal Singh Sodhi ◽  
Sameer Pundeer ◽  
Maneshwar Singh Utaal ◽  
Kirti Savyasacchi Goyal
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Proximal Jejunum ◽  
Rare Form ◽  
Rapunzel Syndrome ◽  
Contrast Enhanced ◽  
Rare Case Report ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Entire Stomach

Rapunzel syndrome is a rare form of trichobezoar with accumulation of large amounts of hair extending from stomach to variable portion of small intestine. An 18 year old girl was brought to surgery opd with complaints of vomiting on and off since 3 months. Contrast enhanced computed tomography abdomen showed a bezoar extending from stomach into the duodenum and proximal jejunum suggestive of Rapunzel syndrome with 3rd and 4th part of duodenum along with duodenojejunal junction. On laparotomy, a trichobezoar occupying the entire stomach measured 100 cm in length and 700 grams in weight. Since the mass formed in Rapunzel syndrome is generally too large to be removed endoscopically or laparoscopically, it requires removal by open gastrostomy. 

scholarly journals Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Vincent Marcucci ◽  
Ratul Bhattacharyya ◽  
Stephanie Yee ◽  
Jamshed Zuberi ◽  
Mark Ingram
Keyword(s):  
Gastric Perforation ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Patch Repair ◽  
Supportive Treatment ◽  
Mask Ventilation ◽  
Omental Patch ◽  
X Ray ◽  
Chest X Ray ◽  
Bag Mask Ventilation

A 71-year-old male, diagnosed with coronavirus disease 2019 (COVID-19), was admitted to the medical-surgical floor for supportive treatment. The patient received bag-mask ventilation (BMV) secondary to severe hypoxia and reendotracheal intubation in the hospital on day eleven. A chest X-ray following reintubation noted concern for intra-abdominal air. Significant abdominal distention and subsequent diagnostic imaging showed pneumoperitoneum and a possible perforation of the stomach. The patient underwent an exploratory laparotomy with omental patching for a gastric perforation. Amidst the height of the COVID-19 pandemic, several important findings have been made through the disease sequelae of this individual patient.

scholarly journals Heavy Encrustation and Stone Formation on Forgotten Double “J” Ureteral Stent: A Case Repot

2020 ◽  
pp. 1-3
Author(s):  
Muhammad Rafique ◽  
Shoaib Rafique ◽  
Muhammad Rafique
Keyword(s):  
Stone Formation ◽  
Renal Stones ◽  
Postoperative Recovery ◽  
Ureteral Stent ◽  
Patient Counseling ◽  
Related Factors ◽  
Ureteric Stent ◽  
History Of ◽  
Complete Blood Counts

Background: Placement of double “J” ureteral stent for various indications is common in urological surgery. The encrustation and stone formation on forgotten DJ stents can result in significant morbidity and its management remains a challenging task. Case Presentation: A 51 years male presented with history of right flank pain of over 6 months duration. He had undergone right pyelolithotomy for right renal stones 4 years ago at some other hospital. There was no medical record available and the patient did not present himself to the surgeon for follow-up. Clinical examination was unremarkable. His complete blood counts, random blood sugar, renal function tests were normal. Urinalysis revealed many pus cells/hpf. At ultrasonography, there were two renal stone with moderate hydronephrosis and a 2 cm vesical stone. An x-ray KUB, revealed a forgotten ureteric stent with stones at its both ends. The patient underwent cystoscopy and a large stone on ureteric stent was dealt with by litholapaxy. The stone on the proximal end of was managed by percutaneous lithotripsy and stent was removed. The postoperative recovery was uneventful. On stone analysis, it was made of calcium oxalate 30% and ammonium urate 70%. Conclusion: The management of encrusted stents is challenging, and each case has to be dealt with individually depending on stone site and burden, and patient related factors. Endourological management is the preferred option. Adequate patient counseling and proper stent documentation (stent placement, proposed duration and removal of stent) is necessary to minimize stent related complications.

scholarly journals Rapunzel syndrome: how to orient the diagnosis

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Enrico Finale ◽  
Piergiorgio Franceschini ◽  
Cesare Danesino ◽  
Michelangelo Barbaglia ◽  
Andrea Guala
Keyword(s):  
Surgical Intervention ◽  
Ectodermal Dysplasia ◽  
Clinical Suspicion ◽  
Clinical Diagnostics ◽  
Surgical Removal ◽  
Rare Form ◽  
Rapunzel Syndrome ◽  
History Of ◽  
Genetic Consultation

Rapunzel syndrome is a rare form of tricobezoar with a tail extending from the stomach into the small bowel; surgical removal is generally required. About 60 cases have been reported and described in the literature since 1968. We present the case of an 8-year-old girl who, during the course of a genetic consultation, was initially assigned with a clinical suspicion of ectodermal dysplasia. Surgical intervention, which resulted in the extraction of a tricobezoar of enormous size and extension, led us to the diagnosis of Rapunzel syndrome. The possibility of a tricobezoar should be considered in all cases of adolescent patients who present signs of intestinal occlusion or sub-occlusion, suffer from psychiatric disorders, and have a history of trichotillomania. Endoscopic methodology, medical imaging and clinical diagnostics are fundamental for a differential diagnosis. Psychiatric follow-up is advised to prevent recurrence.

scholarly journals Gastric Perforation Following Dog Bite in a Child

2018 ◽  
Vol 08 (01) ◽  
pp. e18-e20 ◽  
Author(s):  
Shailendra Singh ◽  
Shashank Verma ◽  
Praveen Singh ◽  
Anand Pandey
Keyword(s):  
Gastric Perforation ◽  
Postoperative Recovery ◽  
Clinical Scenario ◽  
Anterior Surface ◽  
Dog Bite ◽  
Visceral Injury ◽  
Uneventful Postoperative Recovery ◽  
History Of

AbstractDog bite in children leading to visceral injury is a very uncommon clinical scenario. We treated a 6-year-old child who had a history of dog bite over the abdomen. At laparotomy, one perforation was found on the anterior surface of the stomach. The perforations were repaired primarily. The child made an uneventful postoperative recovery.

Sign in / Sign up

Export Citation Format

Share Document