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Title: Gastric perforation due to trichobezoar in an adult (Rapunzel syndrome)
Authors: Pérez, Esteban
Sántana, José Ramón
García, Gabriel
Mesa, José
Hernández, Juan Ramón 
Betancort, Néstor
Núñez, Valentín
Issue Date: 2005
Publisher: 0009-739X
Journal: Cirugia Española (Ed. impresa) 
Abstract: Rapunzel syndrome, or trichobezoar, is an uncommon entity and secondary gastric perforation is exceptional. We found no adult cases reported in the literature. Our patient is a teenager with clinical symptoms of epigastric mass and acute abdomen. Radiological study showed pneumoperitoneum and intragastric mass. Personal history revealed depressive syndrome and anxiety. Urgent laparotomy confirmed the diagnosis of gastric perforation due to a trichobezoar completely moulding the gastric chamber. The diagnosis was suspected on the basis of radiologic images but laparotomy was required to confirm it.
ISSN: 0009-739X
DOI: 10.1016/S0009-739X(05)70931-3
Source: Cirugia Espanola[ISSN 0009-739X],v. 78, p. 268-270
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