Case Report


Imaging findings in thrichobezoars: A case report

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1 Faculty of Medicine and Pharmacies of Rabat, Medical Imaging Services for Maternity and Children, University Hospital Center, Rabat, Morocco

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Arthur Semedo Insumbo

Faculty of Medicine and Pharmacies of Rabat, Medical Imaging Services for Maternity and Children, University Hospital Center, Rabat,

Morocco

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Article ID: 100014G01AI2021

doi: 10.5348/100014G01AI2021CR

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How to cite this article

Insumbo AS, Chalh O, Allali N, El Haddad S, Latifa C. Imaging findings in thrichobezoars: A case report. Edorium J Gastroenterol 2021;8:100014G01AI2021.

ABSTRACT


A rare case of bezoar extending from the stomach to the small intestine or beyond has been described as Rapunzel syndrome. Bezoars are concretions in the gastrointestinal tract with enormous potential to increase in size by continuous accumulation of undigested material or non-absorbable food and fibers. Most bezoars in children are trichobezoars from dolls and swallowed hair from the head or brushes. The typical clinical presentations of trichobezoars are abdominal pain and nausea, but can also present as an asymptomatic abdominal mass, able to progress giving rise to complication such as abdominal obstruction and perforation. Trichobezoar with Rapunzel syndrome is an uncommon diagnosis in children with very few reported cases. It is often found in emotionally disturbed or mentally retarded youngsters. We present the youngest case of Rapunzel syndrome in Morocco, a 5-year-old boy without any antecedent who presented with abdominal pain, vomiting, and abdominal mass.

Keywords: Abdominal mass and computed axial tomography (CAT), Pediatric, Rapunzel syndrome, Trichobezoar

SUPPORTING INFORMATION


Author Contributions

Arthur Semedo Insumbo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Olaya Chalh - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Nazik Allali - Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Siham El Haddad - Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Chat Latifa - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

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None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Arthur Semedo Insumbo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.