Trichobezoar masquerading as massive splenomegaly : Rapunzel's syndrome revisited
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington..
Trichobezoars are usually formed due to ingestion of hair or hair-like fibres and present with a wide spectrum of clinical manifestations. We report a case of Rapunzel's syndrome associated with trichotillomania in a 16-year-old girl who presented to our Haematology unit with complaints of fatigue, abdominal distention, and early satiety. Initial evaluation demonstrated anaemia, thrombocytosis, and a left hypochondrial mass suggestive of splenomegaly. However, ultrasound of the abdomen showed no hepatosplenomegaly and blood investigations were not suggestive of haematological malignancy. Not long after, the patient presented to the emergency department with suspected acute abdomen. Computed tomography of the abdomen revealed intraluminal gastric and jejunal masses causing small bowel obstruction. Emergency laparotomy confirmed gastric and jejunal trichobezoars, and subsequent psychiatric evaluation confirmed trichotillomania. Clinicians should consider trichobezoar in the differential diagnosis of abdominal pain and a non-tender 'spleen-like' abdominal mass.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Radiology case reports - 17(2022), 6 vom: 19. Juni, Seite 2243-2246 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Koh, Alex Zhi Yang [VerfasserIn] |
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| Links: |
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| Themen: |
Anaemia |
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| Anmerkungen: |
Date Revised 16.07.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.radcr.2022.03.097 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM340255269 |
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| 520 | |a © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. | ||
| 520 | |a Trichobezoars are usually formed due to ingestion of hair or hair-like fibres and present with a wide spectrum of clinical manifestations. We report a case of Rapunzel's syndrome associated with trichotillomania in a 16-year-old girl who presented to our Haematology unit with complaints of fatigue, abdominal distention, and early satiety. Initial evaluation demonstrated anaemia, thrombocytosis, and a left hypochondrial mass suggestive of splenomegaly. However, ultrasound of the abdomen showed no hepatosplenomegaly and blood investigations were not suggestive of haematological malignancy. Not long after, the patient presented to the emergency department with suspected acute abdomen. Computed tomography of the abdomen revealed intraluminal gastric and jejunal masses causing small bowel obstruction. Emergency laparotomy confirmed gastric and jejunal trichobezoars, and subsequent psychiatric evaluation confirmed trichotillomania. Clinicians should consider trichobezoar in the differential diagnosis of abdominal pain and a non-tender 'spleen-like' abdominal mass | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Anaemia | |
| 650 | 4 | |a Rapunzel's syndrome | |
| 650 | 4 | |a Splenomegaly | |
| 650 | 4 | |a Trichobezoar | |
| 650 | 4 | |a Trichotillomania | |
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| 700 | 1 | |a Tang, Andy Sing Ong |e verfasserin |4 aut | |
| 700 | 1 | |a Leong, Tze Shin |e verfasserin |4 aut | |
| 700 | 1 | |a Chew, Lee Ping |e verfasserin |4 aut | |
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