scholarly journals Revisión sistemática del Síndrome de Rapunzel

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Reinhard Janssen-Aguilar ◽  
Andrea Rochel-Pérez ◽  
Osman Jesús Cuevas-Koh ◽  
Kassandra Desiré Santos-Zaldivar ◽  
Melissa Rodríguez-Cuevas ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Clinical Case ◽  
Psychiatric Treatment ◽  
Clinical Manifestations ◽  
Surgical Removal ◽  
Age Group ◽  
Rapunzel Syndrome ◽  
Revisión Sistemática ◽  
Cuerpos Extraños

RESUMEN. Introducción: El síndrome de Rapunzel es una forma inusual de tricobezoar gástrico, se localiza desde el estómago llegando a traspasar el píloro y extendiéndose hasta el intestino delgado y/o colon derecho. Se le llama bezoar a la formación de cuerpos extraños, debido a la ingestión de uno o varios materiales no digeribles. El tricobezoar, uno de los bezoares que más se presentan en la práctica clínica consisten en una masa formada por cabello debido a la ingestión de este.Objetivo: describir la frecuencia de signos y síntomas del síndrome de Rapunzel en los reportes de caso y ofrecer una comparación en edad pediátrica y adulta.Método. Revisión sistemática en la base de datos PubMed, Google Académico, EBSCO y Scopus, empleando los términos “Rapunzel syndrome” AND “case report” OR “Clinical case”Resultados. Un total de 110 artículos de reporte de caso fueron analizados, encontrando diferencias por sexo y edad. La tricotilomanía se distribuyó sin predominancia por grupo de edad. Se identificaron diferencias en el reporte de algunas manifestaciones clínicas al analizarlas por grupo de edad, incluyendo diarrea, constipación, vómitos y dolor abdominal. Los casos recidivantes representaron un 9%.Conclusiones: El síndrome de Rapunzel es una entidad que se encuentra en pacientes con patologías psiquiátricas como la tricotilomanía y la tricofagia. Es más frecuente en mujeres que en hombres. La técnica diagnóstica por elección fue la endoscopía y el tratamiento elegido incluyó la remoción quirúrgica con psicoterapia. Palabras clave: síndrome de Rapunzel, signos y síntomas, bezoar, diagnóstico, tricotilomanía, adolescencia. Introduction: Rapunzel syndrome is an unusual type of gastric trichobezoar, which is located from the stomach through the pylorus and extends into the small intestine and/or right colon. Tricobezoar is a collection of foreign bodies that can form in the stomach, small intestine or colon, due to the ingestion of one or more indigestible materials. trichobezoar, one of the most present bezoars in Clinical practice consists of a mass formed by hair due to the ingestion of it, either consciously or unconsciously. Objective: To compile case reports to identify and analyze little-known aspects of Rapunzel syndrome, as well as patient characteristics along with the best and most documented methods of diagnosis and treatment. Method. Systematic review in the Pubmed, Google Scholar, EBSCO and Scopus databases using as search terms: "Rapunzel syndrome" AND "case report" OR "Clinical case" Results: A total of 110 case report articles were analyzed, finding differences by sex and age. Trichotillomania was distributed without predominance by age group. Differences were identified in the reporting of some clinical manifestations when analyzed by age group, including diarrhea, constipation, vomiting and abdominal pain. Recidivist cases were 9%. Conclusion: Throughout the review of reported cases, we found that part of the patient's recovery includes psychiatric treatment; Rapunzel syndrome is not a mental disorder, however, both trichotillomania and pica as factors of it. The entity is more frequent in women than in men, the technique for diagnosis by choice was the endoscopy and the chosen treatment included surgical removal with psychotherapy. Keywords: Rapunzel Syndrome, Signs and Symptoms, Bezoar, Diagnosis Trichotillomania, Adolescence.

scholarly journals Case report of von willebrand disease after tonsillotomy and adenotomy in a child

2021 ◽  
Vol 20 (1) ◽  
pp. 89-92
Author(s):  
S. S. Makhmudov ◽  
◽  
A. A. Ochilzoda ◽  
F. P. Dzhamolov ◽  
A. Z. Mutalibov ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Von Willebrand Disease ◽  
Rare Occurrence ◽  
Von Willebrand

The authors present a clinical case of von Willebrand disease detected after tonsillotomy and adenotomy in a child. The peculiarity of this observation lies in the rare occurrence of von Willebrand disease in clinical practice, as well as the manifestation of the clinical manifestations of this pathology against the background of surgical treatment in a child.

scholarly journals Premenstrual disorder and the adolescent: clinical case report, literature review, and diagnostic and therapeutic challenges

2015 ◽  
Vol 27 (4) ◽  
pp. 363-368
Author(s):  
Sinem Akgül ◽  
Nuray Kanbur
Keyword(s):  
Case Report ◽  
Luteal Phase ◽  
Clinical Case ◽  
Psychological Symptoms ◽  
Premenstrual Dysphoric Disorder ◽  
Behavioral Changes ◽  
Adolescent Medicine ◽  
Age Group ◽  
Late Luteal Phase ◽  
Premenstrual Disorder

AbstractObjective:The aim of this paper is to present a case with premenstrual dysphoric disorder and to review the diagnosis from an adolescent medicine approach, discussing why diagnosis and treatment must be distinct for this age group and different from the adult approach.Introduction:Premenstrual disorder is a periodic, recurrent, debilitating condition with either physical and/or psychological symptoms that occur during the late luteal phase of the menstrual cycle.Case:We report the case of a 16-year-old female diagnosed with premenstrual disorder.Discussion:Physical signs, behavioral changes, and mood disturbances that occur before menstruation have long been recognized in women, but how well is the disorder defined for adolescents? Due to the unique characteristics of teens, do the current diagnostic criteria appropriately represent this population?

scholarly journals Odontoma composto associado canino incluso no palato: relato de caso

2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Breno dos Reis Fernandes ◽  
Darah Ligia Marchiori ◽  
Daniel de Lima e Sá Medronho ◽  
Gabriel Mulinari-Santos ◽  
Patrick Peloso Pereira Figueira ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Clinical Manifestations ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Second Molar ◽  
Clinicopathologic Study ◽  
Complex Odontoma ◽  
Compound Odontoma

Odontoma refere-se a tumores de origem odontogênica. Sua etiologia envolve distúrbios de desenvolvimento, traumatismos e infecções. Embora o crescimento seja lento e geralmente assintomático, complicações de ordem estética e funcional podem advir da permanência desta lesão. Os odontomas podem ser classificados como complexos e compostos, e o seu tratamento envolve a remoção cirúrgica conservadora com posterior exame histopatológico. Neste artigo é relatado um caso clínico de uma remoção de um canino incluso no palato associado a um odontoma com posterior enxertia utilizando enxerto do ramo mandibular particulado.Descritores: Odontoma; Cirurgia Bucal; Dente Canino.ReferênciasTeruhisa U, Murakami J, Hitasomi M, Yanagi Y, Asaumi J. A case of unerupted lower primary second molar associated with compound odontoma. Open Dent J. 2009;3:173-76.Ladeinde AL, Ajayi OF, Ogunlewe MO, Adeyemo WL, Arotiba GT, Bamgbose BO et al. Odontogenic tumors: a review of 319 cases in a Nigerian teaching hospital. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):191-95.Hidalgo-Sánchez O, Leco-Berrocal MI, Martínez-Gonzáles JM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal. 2008;13(11):730-34.Pires LD, Krüger MLB, Viana ES, Kramer PF, Ferreira SL. Odontoma: estado da arte e relato de caso clínico. Stomatos. 2007;13(24):21-9.Chang JY, Wang JT, Wang YP, Liu BY, Sun A, Chiang CP. Odontoma: a clinicopathologic study of 81 cases. J Formos Med Assoc. 2003;102(12):876-82.Hisatomi M, Asaumi JI, Konouchi H, Honda Y, Wakasa T, Kishi K. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis. 2002;8(2):100-5.Sheehy EC, Odell EW, Al-Jaddir G. Odontomas in the primary dentition: literature review and case report. J Dent Child (Chic). 2004;71(1):73-6.Sasaki PS, Biancalana H, Duarte DA. Odontoma em pacientes odontopediátricos: repercussöes clínicas e proposiçäo de tratamento Rev Assoc Paul Cir Dent. 2002;56(5):382-86.Serra-Serra G, Berini-Aytés L, Gay-Escoda C. Erupted odontomas: a report of three cases and review of the literature. Med Oral Patol Oral Cir Bucal. 2009;14(6):299-303.Cardoso LC, Miyahara GI, Magro Filho O, Garcia Junior IR, Soubhia AMP. Odontoma combinado associado a dentes não-irrompidos: relato de casos clínicos. Rev Odontol Araçatuba. 2003;24:47-51.Lukes SM, Wachter KM. Compound odontoma: a case study. J Dent Hyg. 2003;77(1):47-9.Chrcanovic RB, Jaeger F, Freire-Maya B. Two-stage surgical removal of large complex odontoma. Oral Maxillofac Surg. 2010;14(4):247-52.

scholarly journals Jejunal perforation secondary to trichobezoar (Rapunzel syndrome): a rare presentation

2019 ◽  
Vol 6 (8) ◽  
pp. 3002
Author(s):  
Jitendra Kumar Saroj ◽  
Arshad Ahmad ◽  
Pankaj Kumar ◽  
Sandeep Verma
Keyword(s):  
Small Intestine ◽  
Psychiatric Illness ◽  
Adolescent Females ◽  
The Other ◽  
Surgical Removal ◽  
Gi Tract ◽  
Rare Presentation ◽  
Rapunzel Syndrome ◽  
Protein Losing Enteropathy ◽  
Mucosal Erosion

Trichobezoar is a rare disorder. It usually occurs in young and adolescent females associated with some psychiatric illness. Trichobezoar usually accumulate in the GI tract and most commonly in stomach but it can migrate through the pylorus into the jejunum, ileum and colon. Once the bezoars extends from the stomach into the jejunum or further on, it is referred to as “Rapunzel syndrome”. Though initially asymptomatic but over a period of time it may cause gastric mucosal erosion, ulceration, and perforation of the stomach or the small intestine. If unrecognized, tichobezoar may present with intussusceptions, obstructive jaundice, protein-losing enteropathy, pancreatitis and even death. Small trichobezoar may be extracted by endoscopic fragmentation but bezoars like Rapunzel Syndrome, on the other hand, need open surgical removal. Counseling by a psychiatrist is an important part of management to prevent recurrence.

scholarly journals Gastric and esophageal duplications in children

2020 ◽  
Vol 15 (4) ◽  
pp. 110-113
Author(s):  
M.A. Aksel'rov ◽  
◽  
V.N. Evdokimov ◽  
V.V. Svazyan ◽  
T.V. Sergienko ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Anal Canal ◽  
Congenital Anomalies ◽  
Congenital Malformations ◽  
Clinical Manifestations ◽  
Clear Understanding ◽  
Gastric Duplication ◽  
Esophageal Duplication

Considerable attention is currently being paid to the diagnosis and treatment of gastric malformations complicated by its obstruction. This can be attributed to stable incidence of these disorders among other congenital anomalies of the gastrointestinal tract and no clear understanding of the causes and mechanisms underlying the development of this pathology. Gastrointestinal duplications are rare congenital malformations that differ significantly in their appearance, location, size, and clinical manifestations. Their incidence is 1 case per 4,500 autopsies. Duplications can be cystic and diverticular (tubular) and can be located in any part of the gastrointestinal tract from the root of the tongue to the anal canal. The small intestine is affected most frequently, while duplications of the rectum, duodenum, and esophagus are exceedingly rare. In this article, we report two cases of gastrointestinal duplications in children treated using surgery. Key words: neonate, obstruction, developmental malformations, gastric duplication, esophageal duplication, case report

scholarly journals MESENCHYMAL TUMORS OF THE COLON AND RECTUM: DIAGNOSIS, TREATMENT, PROGNOSIS (case report and review)

2020 ◽  
Vol 19 (3) ◽  
pp. 97-112
Author(s):  
O. A. Mainovskaya ◽  
M. A. Tarasov ◽  
E. M. Romanova ◽  
S. V. Chernyshov
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Mesenchymal Tumor ◽  
Mesenchymal Tumors ◽  
Different Types ◽  
Colon And Rectum ◽  
Treatment Prognosis ◽  
Derivatives Of

Mesenchymal tumors of the colon and rectum are extremely rare and do not have specific clinical manifestations, their diagnosis and staging cause certain difficulties.Different types of mesenchymal tumors differ in prognosis and choice of the treatment. It explains the importance of differential diagnosis of these neoplasms among themselves and tumors-derivatives of other embryonic structures.The article describes the clinical case of a rare mesenchymal tumor and management of the patient.

scholarly journals Hemorrhagic thrombocytopathy with defective signal transduction CalDAG-GEFI

2021 ◽  
Vol 20 (3) ◽  
pp. 126-131
Author(s):  
A. O. Koposova ◽  
D. V. Fedorova ◽  
A. V. Pshonkin ◽  
A. V. Poletaev ◽  
E. A. Seregina ◽  
...  
Keyword(s):  
Signal Transduction ◽  
Case Report ◽  
Rare Disease ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
The World ◽  
The Moment

Hemorrhagic thrombocytopathy with defective signal transduction CalDAG-GEFI is a rare disease associated with a mutation in the RASGRP2 gene. At the moment, this disease is described in 10 person in the world. We present clinical case report of this pathology of a 9-year-old child. We also offer a review of the available literature about pathogenetic features, clinical manifestations and prevalence of this rare disease. The patient’s parents gave their consent to the use of their child’s data, including photographs, for research purposes and in publications.

scholarly journals Bilateral Angle Narrowing and Acute Myopia Induced by Indapamide: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Ana Catarina Pedrosa ◽  
Joana Rodrigues Araújo ◽  
João Paulo Macedo ◽  
Sérgio Estrela Silva ◽  
António Melo ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Pressure Control ◽  
Ultrasound Biomicroscopy ◽  
Acute Onset ◽  
Angle Closure ◽  
Anterior Chamber Angle ◽  
Ciliochoroidal Effusion ◽  
Blurry Vision

Purpose. To describe a clinical case of indapamide induced bilateral angle narrowing and acute myopia. Materials and Methods. Clinical case report. Results. A 37-year-old Caucasian emmetropic man presented to the Emergency Department with complaints of acute-onset bilateral blurry vision, nine days after starting treatment for arterial hypertension with a combination of indapamide and amlodipine. Clinical examination revealed the presence of myopia and appositional closure of the anterior chamber angle. Ultrasound biomicroscopy and mode B ultrasonography disclosed bilateral ciliochoroidal effusion with anterior rotation of the ciliary body and iridocorneal angle narrowing. After intraocular pressure control with brimonidine and timolol, and replacement of indapamide/amlodipine by amlodipine only, the patient was discharged. Complete resolution of the clinical manifestations was observed after three weeks, with no sequelae. Conclusions. Indapamide may cause acute myopia and angle closure secondary to ciliochoroidal effusion that are fully reversible after drug withdrawal, as long as timely diagnosis is established. Therefore, indapamide, as well as other sulfonamide-derived drugs, must always be considered in the differential diagnosis of acute myopia and angle closure.

scholarly journals Klajoklio nervo krūtininės dalies neurilemoma: klinikinis atvejis

2012 ◽  
Vol 11 (3-4) ◽  
pp. 89-92
Author(s):  
Renatas Aškinis ◽  
Arnoldas Krasauskas ◽  
Sigitas Zaremba ◽  
Saulius Cicėnas
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Clinical Symptoms ◽  
Chest Ct ◽  
Vagal Nerve ◽  
Surgical Removal ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray ◽  
Nervus Vagus

Neurilemoma – periferinių nervų dangalų auglys, kuris auga lėtai ir jo pradžia dažniausiai būna besimptomė. Pasiekę kritinį dydį augliai, priklausomai nuo atsiradimo vietos, pasireiškia spaudimo į aplinkinius organus klinika. Neurilemomos dažniausiai atsiranda galūnėse 30–50-ais gyvenimo metais ir nuo lyties nepriklauso. Klajoklio nervo neurilemoma yra nedažna patologija, o krūtininės klajoklio nervo dalies neurilemoma pasitaiko itin retai. Diagnostikai svarbiausi yra radiologiniai tyrimo metodai. Gydymas – chirurginis auglio šalinimas. Pateikiame krūtininės klajoklio nervo dalies neurilemomos, nustatytos 39 metų moteriai, klinikinį atvejį. Auglys aptiktas radiologiniais tyrimais (krūtinės rentgeniniu, kompiuterinės tomografijos ir tarpuplaučio magnetinio branduolių rezonanso), pašalintas naudojant vaizdo torakoskopinę metodiką. Diagnozė galutinai patvirtinta histologiniu tyrimu. Aštuntą parą po operacijos ligonė išrašyta į namus.Reikšminiai žodžiai: neurilemoma, klajoklis nervas, operacija.Neurilemoma of intrathoracal vagal nerve: case report Neurilemoma is a tumour of peripleurical nervous tissues. It grows slowly and has an asymptomatic manifestation. During tumour enlargement, depending on its localization, clinical symptoms appear due to the tumour pressure to surrounding tissues. Neurilemomas mostly appear in the extremities of patients aged 30–50 years. N. vagus neurilemoma is a very rare disease. The diagnosis is made using radiology. Its treatment is surgical removal. We present a clinical case of intrathoracal nervus vagus neurilemoma in a 39-y woman. The diagnosis was based on radiological findings (chest X-ray, chest CT, and mediastinum MRI). The removal of the tumour was made by the VATS method. The diagnosis was proven morphologically. After 8 days the patient was discharged from the hospital.Key words: neurilemoma, vagal nerve, operation.

Sign in / Sign up

Export Citation Format

Share Document