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. 2016:2016:7638504.
doi: 10.1155/2016/7638504. Epub 2016 Apr 10.

Laparoscopic Management of Acute Pancreatitis Secondary to Rapunzel Syndrome

Bijan Koushk Jalali  1 , Alperen Bingöl  1 , Ashraf Reyad  1
Affiliations

Laparoscopic Management of Acute Pancreatitis Secondary to Rapunzel Syndrome

Bijan Koushk Jalali et al. Case Rep Surg. 2016.

Abstract

A 17-year-old girl presented with bilious vomiting and abdominal pain to the surgery department. The history was positive for trichotillomania and trichophagia. A CT scan showed a mass in the stomach, which was highly suspicious for a gastric bezoar. Drooping parts of the bezoar caused a duodenal obstruction with secondary acute pancreatitis. The bezoar was removed via a laparoscopically performed gastrotomy.

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Figures

Figure 1
Figure 1
CT image showing bezoar extension from stomach into duodenum.
Figure 2
Figure 2
CT image showing bezoar extension from stomach into duodenum.
Figure 3
Figure 3
Endoscopic image of bezoar in stomach causing complete occlusion of duodenum.
Figure 4
Figure 4
Gastrotomy incision.
Figure 5
Figure 5
Piecemeal extraction of the bezoars from gastrotomy incision.
See this image and copyright information in PMC

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