A rare variant of rapunzel syndrome-acute small bowel obstruction caused by ball of hairs in distal ileum with its tail extending in caecum and ascending colon. | [Journal of Pakistan Medical Association • 2016]

Author(s):

1. Nauman Ahmed: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan

2. Muhammed Aslam Baloch: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan

3. Khan Muhammad Baber: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan

4. Javaid Ahmed: Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan

Abstract:

Rapunzel syndrome is an extremely rare variant of Trichobezoar. Trichobezoar commonly occurs in patients with psychiatric disturbances as trichophagia (morbid habit of chewing the hair) and Trichotillomania (habit of hair pulling). Bezoars are commonly found in the stomach. In very rare cases of Rapunzel syndrome, hair extends through the pylorus into the small bowel and very uncommonly in large intestine causing symptoms and signs of partial or complete intestinal obstruction. A case report of a rare variant of Rapunzel syndrome, where ball of hairs in small bowel with its tail extending in caecum and ascending colon causing acute small bowel obstruction, is reported in a 13-year-old girl.

Page(s): 761-764

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 66, Issue: 6, Year: 2016

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