소아에서 소장 내시경으로 제거한 라푼젤 증후군 1예
Rapunzel Syndrome Removed with Enteroscopy in a Child
천상우, 이건송, 박윤준, 신현덕,
소속 상세정보
천상우 ( Chun Sang-Woo )
단국대학교 의과대학 소아과학교실
이건송 ( Lee Kun-Song )
단국대학교 의과대학 소아과학교실
박윤준 ( Park Youn-Joon )
단국대학교 의과대학 소아외과학교실
신현덕 ( Shin Hyun-Deok )
단국대학교 의과대학 내과학교실
Abstract
A trichobezoar is a type of bezoar that is composed of hair. In most cases, it is confined to the stomach, but in rare cases, it may extend to the small intestine. This condition is referred to as Rapunzel syndrome. The therapeutic method for bezoar removal depends on its type, location, and size. Generally, the treatment for Rapunzel syndrome involves surgical laparotomy. Endoscopic removal has also been effective in some cases. On the other hand, complications, such as respiratory difficulty and esophageal impaction may be encountered during endoscopic removal. Until now, the successful endoscopic removal of trichobezoars has been limited to the stomach or duodenum. This paper reports the case of a 4-year-old female patient with Rapunzel syndrome whose trichobezoar reached the proximal jejunum. The trichobezoar was removed without complications using an electrosurgical knife and snare through a single- balloon enteroscopy. The trichobezoar can be removed successfully using enteroscopy under general anesthesia without abdominal laparotomy in young children. Therefore, this method of removal can be considered preferentially for children with Rapunzel syndrome.
키워드
Bezoars; Single-balloon enteroscopy; Child
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