scholarly journals Trichobezoar in young Nepalese girl with Rapunzel syndrome: A case report

2021 ◽  
Vol 32 (1) ◽  
pp. 69-72
Author(s):  
Shrestha R ◽  
Nepal B ◽  
Purbey B ◽  
Khadka D ◽  
Sah MK ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Epigastric Pain ◽  
Exploratory Laparotomy ◽  
Endoscopic Removal ◽  
Psychiatric Consultation ◽  
Rapunzel Syndrome ◽  
Unusual Form ◽  
Gastric Trichobezoar ◽  
History Of

Trichobezoar is a gastric foreign body that is composed of the patient’s own hair in the stomach. Rapunzel syndrome is an unusual form of trichobezoar in stomach,which extends into any part of the small intestine.We are reporting the case of gastric trichobezoar with thin tail extending into the duodenum in a twenty year oldgirl. She had a history of trichophagia. She presented with epigastric pain and vomiting. Endoscopic removal was attempted but this was unsuccessful. Subsequently the patient underwent exploratory laparotomy and gastrotomy.She recovered well and was discharged with advice for psychiatric consultation. Bangladesh J Medicine January 2021; 32(1) : 69-72

scholarly journals Gastric trichobezoar and Rapunzel syndrome: a case report

2020 ◽  
Vol 7 (5) ◽  
pp. 1634
Author(s):  
Abhishek Gupta ◽  
Panna Lal Gupta
Keyword(s):  
Case Report ◽  
Epigastric Pain ◽  
Exploratory Laparotomy ◽  
Adolescent Females ◽  
Young Adolescent ◽  
Adolescent Female ◽  
Rapunzel Syndrome ◽  
Gastric Trichobezoar ◽  
History Of

Giant gastric trichobezoars are unusual form of foreign body found in stomach of mostly young adolescent females which may lead to morbidity and high mortality 30%, if goes unnoticed. These females have history of trichophagia or trichotillomania. This report is of a 12- year old young adolescent female presented with epigastric pain and mass. An exploratory laparotomy with anterior gastrotomy was performed and a giant trichobezoar with a very large tail of 2.5 ft was removed, weighing 2.52 kg. She recovered well and was discharged on 7th post-operative day. Patient was advised for psychiatric follow up.

scholarly journals The Rapunzel Syndrome: An Unusual Trichobezoar Presentation

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Luiz Roberto Lopes ◽  
Priscilla Sene Portel Oliveira ◽  
Eduardo Marcucci Pracucho ◽  
Marcelo Amade Camargo ◽  
João de Souza Coelho Neto ◽  
...  
Keyword(s):  
Case Report ◽  
Psychiatric Disorders ◽  
Epigastric Pain ◽  
Young Girl ◽  
Hair Pulling ◽  
Rapunzel Syndrome ◽  
Unusual Form ◽  
History Of

The Rapunzel syndrome is an unusual form of trichobezoar found in patients with a history of psychiatric disorders, trichotillomania (habit of hair pulling) and trichophagia (morbid habit of chewing the hair), consequently developing gastric bezoars. The principal symptoms are vomiting and epigastric pain. In this case report, we describe this syndrome in a young girl.

scholarly journals Case Report of Foreign Body Stuck in Esophagus with Failure of Endoscopic Management in a Man with a History of Pica

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Holly Mulinder ◽  
Allison Ammann ◽  
Yana Puckett ◽  
Sharmila Dissanaike
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Endoscopic Removal ◽  
Intellectually Disabled ◽  
Rigid Plastic ◽  
Gastric Bezoar ◽  
History Of

This is a case report of foreign body ingestion in a 55-year-old intellectually disabled man with a history of pica and previous removal of ten plastic gloves from his rectum four months prior to this presentation. The patient presented after ingesting plastic gloves which formed large, rigid esophageal and gastric bezoars that were not amenable to endoscopic removal. An exploratory laparotomy and gastrostomy was performed, and a 10 × 4.5 × 2 cm gastric bezoar consisting of rigid plastic gloves was removed without complication. Special considerations must be taken when considering the ingestion of nonfood items in the intellectually disabled population as these cases may not present classically with symptoms of a gastric bezoar.

scholarly journals Colossal Rhinolith

2021 ◽  
Vol 29 (1) ◽  
pp. 94-97
Author(s):  
Neha Shakrawal ◽  
Bikram Choudhury ◽  
Kapil Soni ◽  
Darwin Kaushal
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
General Anaesthesia ◽  
Nasal Obstruction ◽  
Nasal Endoscopy ◽  
Endoscopic Removal ◽  
Benign Condition ◽  
Eye Pain ◽  
History Of ◽  
Almost All

Introduction Rhinolith is a calcic deposition formed by mineralization of salts in an impacted nasal foreign body. It is a benign condition that can be troublesome owing to its size and extent of impact. Case Report A 35-year-old man with a history of right nasal obstruction with occasional foul-smelling discharge and right eye pain since ten years was diagnosed with rhinolith. During its removal, it was three times bigger than what could be visualized in nasal endoscopy. Conclusion Proper history, examination, and a high suspicion can clinch the diagnosis in almost all cases. A rigid diagnostic nasendoscopy is an important tool in the diagnosis. The treatment of choice is endoscopic removal under local or general anaesthesia.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

scholarly journals Unusual Foreign Body in Urinary Bladder: A Case Report

2012 ◽  
Vol 1 (1) ◽  
pp. 41-42
Author(s):  
Deb Prosad Paul ◽  
Debasish Das ◽  
Kazi Sohel Iqbal
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Foreign Body ◽  
Urinary Bladder ◽  
Foreign Bodies ◽  
Suprapubic Cystostomy ◽  
Unusual Foreign Body ◽  
Medical College ◽  
History Of ◽  
Mobile Charger

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42

scholarly journals Robotic approach to treat Median Arcuate Ligament syndrome: a case report

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Roberto Bustos ◽  
Michail Papamichail ◽  
Alberto Mangano ◽  
Valentina Valle ◽  
Pier Cristoforo Giulianotti
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Epigastric Pain ◽  
Celiac Trunk ◽  
Robotic Approach ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Clinical Diagnostic ◽  
Arcuate Ligament ◽  
History Of

Abstract The Median Arcuate Ligament (MAL) syndrome is the symptomatic compression of the celiac trunk by the MAL and other ganglionic periaortic tissue. Despite its rarity, this condition is significant from a clinical, diagnostic and management standpoint and it is usually a diagnosis of exclusion. A 61-year-old female with history of intermittent postprandial epigastric pain was diagnosed with MAL syndrome during CT scan imaging (no other causes of pain were identified). Patient successfully underwent robotic MAL release with symptoms improvement after surgery. The robotic approach is feasible and may allow a very precise and delicate dissection with release of the MAL.

scholarly journals Diagnosis and Management of a Postpyloric Foreign Body Causing Small Bowel Obstruction in an Infant

2017 ◽  
Vol 10 ◽  
pp. 117954761771924
Author(s):  
Victoria Bradford ◽  
Marissa Vadi ◽  
Harmony Carter
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Pediatric Population ◽  
Exploratory Laparotomy ◽  
Foreign Body Ingestion ◽  
Common Occurrence ◽  
Diagnosis And Management ◽  
History Of

Foreign body ingestion is a common occurrence in the pediatric population and most ingestions resolve with little morbidity. Although radiopaque objects are easily identified on biplane radiographs, radiolucent objects may elude detection, delaying diagnosis. We report a case of a healthy 10-month-old infant who presented with a 5-day history of postprandial vomiting and imaging consistent with small bowel obstruction. On exploratory laparotomy, she was discovered to have a postpyloric foreign body requiring removal through an enterotomy.

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.

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