Metin GÜNDÜZ, Anna Carina ERGANİ, Meltem GÜMÜŞ, Reyhan GÜMÜŞTEKİN, Fatma ÖZCAN SIKI, Halil Haldun EMİROĞLU

OTİZMLİ BİR HASTADA RAPUNZEL SENDROMU

Karın ağrısı, beslenme sorunları ve kusma şikayetlerinin yanı sıra psikiyatrik sorunlar ile başvuran çocuk hastalarda trikobezoar ayırıcı tanıda düşünülmelidir. Rapunzel sendromu, trikobezoarın mideden ince bağırsağa ve hatta kolona kadar uzanabilen nadir görülen bir formudur. Bu olgu sunumunda trikotillomani ve trikofajinin eşlik ettiği Rapunzel sendromu tanısı konulan otizmli 9 yaşında bir kız çocuğu sunulmaktadır.

Anahtar Kelimeler:

Otizm, Rapunzel sendromu, Trikobezoar

Rapunzel Syndrome in a Patient with Autism

Trichobezoar should be considered in the differential diagnosis in pediatric patients who present with complaints of abdominal pain, feeding problems, and vomiting as well as psychiatric problems.Rapunzel syndrome is a rare form of trichobezoar that can extend from the stomach to the small intestine and even to the colon. In this case report, a 9-year-old girl with autism accompanied by trichotillomania and trichophagia and diagnosed with Rapunzel syndrome is presented.

Keywords:

Autism, Rapunzel syndrome, Trichobezoar,

PDF

___

1. Vaughan Jr E, Sawyers J, Scott Jr H. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery. 1968;63(2):339-43.
2. Grimm B. Rapunzel. Translated by Godwin-Jones R. Richmond. Virginia Commonwealth University: Department of Foreign Languages. 1994:1994-9.
3. Nettikadan A, Ravi M, Shivaprasad M. Recurrent Rapunzel syndrome–A rare tale of a hairy tail. International journal of surgery case reports. 2018;45:83-6.
4. Vellaisamy R, Iyer S, Chandramohan SM, Harikrishnan S. Rapunzel syndrome with cholangitis and pancreatitis–A rare case report. Open Medicine. 2020;15(1):1137-42.
5. Gastric bezoars. Available at: https://www.uptodate.com/contents/gastric-bezoars. Accessed February 19.
6. Grant JE, Odlaug BL. Clinical characteristics of trichotillomania with trichophagia. Comprehensive psychiatry. 2008;49(6):579-84.
7. Lalith S, Gopalakrishnan KL, Ilangovan G, Jayajothi A. Rapunzel syndrome. Journal of clinical and diagnostic research: JCDR. 2017;11(9):TD01.
8. Sidhu B, Singh G, Khanna S. Trichobezoar. Journal of the Indian Medical Association. 1993;91(4):100-1.
9. Chun SW, Lee K, Park YJ, Shin HD. Rapunzel Syndrome Removed with Enteroscopy in a Child. The Korean Journal of Gastroenterology. 2019;74(1):42-5.
10. Gorter R, Kneepkens C, Mattens E, Aronson D, Heij H. Management of trichobezoar: case report and literature review. Pediatric surgery international. 2010;26(5):457-63.
11. Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y. Laparoscopic removal of a large gastric trichobezoar. Journal of pediatric surgery. 1998;33(4):663-5.