Departamento de Cirugía General, Hospital General Regional 1 Querétaro, Instituto Mexicano del Seguro Social; División de Estudios de Posgrado, Universidad Autónoma de Querétaro. Querétaro, México.
Cir Cir. 2021;89(S2):90-93. doi: 10.24875/CIRU.20001407.
Rapunzel syndrome is the formation of a trichobezoar that extends beyond the small intestine. Since its discovery few cases have been reported in the literature with variable clinical characteristics, causing important complications such as intestinal obstruction. Laparotomy is currently considered the treatment of choice.
We present the clinical case of a patient who presented with recurrent peritonitis associated with a peritoneal dialysis catheter, anorexia, nausea, vomiting, without channeling or presenting evacuations, epigastric tumor, anxiety, trichotillomania and trichophagia. Rapunzel syndrome is diagnosed and admission to the operating room is decided.
长发公主综合征是发辫状胃石形成并延伸至小肠以外。自发现以来,文献中报道的病例很少,且具有不同的临床特征,导致严重并发症,如肠梗阻。目前剖腹手术被认为是首选治疗方法。
我们报告了一例患者的临床病例,该患者出现复发性腹膜炎,与腹膜透析导管相关,伴有食欲不振、恶心、呕吐,无通道或排出物,上腹部肿瘤,焦虑,拔毛癖和异食癖。诊断为长发公主综合征,并决定收入手术室。