Resumen

TOVAR L, M  y  RAMIREZ, N. Síndrome de Rapunzel (tricobezoar gástrico con extensión a duodeno y yeyuno): a propósito de un caso. Gen [online]. 2010, vol.64, n.1, pp.42-45. ISSN 0016-3503.

The Rapunzel syndrome is a rare condition with few cases reported and described in the literature. Thus, WE SHARE a new case. Is a 6 years old female patient who went to consult because she had had from 2 months ago epigastralgiaÊs crisis, vomits and regurgitation, and lost of weight. Her symptomatology has gotten worst in the last week and refers a sensation of a mass in the epigastrium. As an important background she had had trichophagia of two years evolution. An elongated epigastric mass is felt on examination.The abdominal echosonogram shows a hyperechoic curvilinear line, discretelyheterogeneous, in the epigastrium, specifically, in the gastric zone, which producesa complete acoustic shadow allusive of echogenic mass of more than 5cm. of length. The stomach radiography shows a defect image of 6 x 4 cm.that extends from the body to the antro-pyloric region. The video-gastroscopy reveals a hair concretion (trichophagia) that extendsthrough the pylorus. On February 26, 2009 the patient underwent surgical intervention, a gastrostomy with extraction of the trichobezoar that expands through the duodenum to the jejunum. In occasions the trichobezoar extends beyond the stomach reaching to the duodenum, jejunum, ileum and even colon, thatÊs when itÊs called Rapunzel Syndrome

Palabras clave : trichobezoar; Rapunzel Syndrome.