Rapunzel Syndrome: a rare case of acute abdomen associated with gastric perforation

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.

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Ascariasis presenting as Acute Abdomen: A Rare Case

International Journal of Advanced and Integrated Medical Sciences ◽

10.5005/jp-journals-10050-10025 ◽

2016 ◽

Vol 1 (2) ◽

pp. 75-78

Author(s):

Ranjan Agrawal ◽

Parbodh Kumar ◽

Nitesh Mohan

Keyword(s):

Acute Abdomen ◽

Low Socioeconomic Status ◽

Rare Case ◽

Intestinal Tract ◽

Surgical Intervention ◽

Intestinal Parasite ◽

Age Groups ◽

Low Socioeconomic ◽

Lethal Complications ◽

Small Intestinal

ABSTRACT Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

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Spontaneously perforated pyometra: an unusual cause of acute abdomen and pneumoperitoneum

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13373405387410 ◽

2012 ◽

Vol 94 (8) ◽

pp. e15-e17 ◽

Cited By ~ 9

Author(s):

IM Shapey ◽

T Nasser ◽

P Dickens ◽

M Haldar ◽

MH Solkar

Keyword(s):

Acute Abdomen ◽

Rare Case ◽

Intrauterine Device ◽

Gastrointestinal Perforation ◽

Gravid Uterus ◽

General Surgeon ◽

Clinical Knowledge ◽

Pelvic Anatomy ◽

Close Collaboration ◽

Endoscopic Procedures

Pneumoperitoneum is usually associated with gastrointestinal perforation or following surgical and endoscopic procedures. We report a rare case of spontaneously perforated pyometra presenting with generalised peritonitis and pneumoperitoneum. Perforation of the uterus is also unusual and often associated with the presence of an intrauterine device, a gravid uterus or malignancy. Our case illustrates the importance of clinical knowledge of acute and neoplastic gynaecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynaecology colleagues is essential as operative intervention is often required.

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Giant mesenteric cystic lymphangioma: a rare cause of intra-abdominal catastrophe

International Surgery Journal ◽

10.18203/2349-2902.isj20195152 ◽

2019 ◽

Vol 6 (11) ◽

pp. 4184

Author(s):

Gopalakrishnan Gunasekaran ◽

Debasis Naik ◽

Sakthivel Chinnakkulam Kandhasamy ◽

Dhirendra Nath Soren

Keyword(s):

Head And Neck ◽

Acute Abdomen ◽

Rare Case ◽

Clinical Presentation ◽

Abdominal Mass ◽

Cystic Lymphangioma ◽

Life Threatening ◽

Benign Tumours

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.

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