소장의 다발장중첩증을 동반한 라푼젤증후군의 드문 발현
A rare presentation of Rapunzel syndrome with multiple small bowel intussusceptions
민경진, 차한, 김성민, 최재연,
소속 상세정보
민경진 ( Min Kyung-Jin )
가천대학교 의과대학 길병원 응급의학교실
차한 ( Tchah Hann )
가천대학교 의과대학 길병원 소아청소년과학교실
김성민 ( Kim Seong-Min )
가천대학교 의과대학 길병원 외과학교실
최재연 ( Choi Jae-Yeon )
가천대학교 의과대학 길병원 응급의학교실
Abstract
Rapunzel syndrome is caused by gastric trichobezoar with extended tail and small bowel obstruction. Patients with gastric trichobezoar can be asymptomatic until the bezoar increases in size. We report a case of a girl who visited the emergency department with abdominal pain. She was finally diagnosed with Rapunzel syndrome that causes multiple small bowel intussusceptions associated with trichophagia. Surgery was needed to reduce the multiple intussusceptions, and to remove the large trichobezoar. This case highlights to consider the possibility of Rapunzel syndrome when diagnosing the main cause of intussusceptions.
키워드
Bezoars; Intestinal Obstruction; Intussusception; Pica; Trichotillomania
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