Rapunzel syndrome alert! A hairball being extracted through a gastronomy!!
Due to the bulky size of the trichobezoar, the patient underwent exploratory laparotomy, with an incision from the center of the upper abdomen extended vertically along the anterior wall of the stomach, which revealed a stomach completely filled by the large trichobezoar, and a long tail extended through the pylorus and the duodenum into the upper parts of the jejunum. The total length was approximately 25cm, with a weight of over 3000g.
Broadly speaking, a bezoar is a tightly packed collection of indigestible material that is unable to exit the stomach, most being hair-trichobezoars.
Trichobezoar is basically a human hairball that obstructs the gastrointestinal system. It is rare but serious condition and can be fatal and is usually associated with the condition called Trichtotillomania compulsive hair pulling.
Bezoars that extend through the pylorus in the form of a tail into the small bowel are known as the Rapunzel syndrome, which is clearly seen in this case.
They cause potentially life-threatening complications such as intestinal obstruction, gastric bleeding, and perforation and must be removed once the diagnosis is made, especially when they become embedded in the gastric mucosa. Gastric trichobezoars may attain large sizes before becoming symptomatic, causing symptoms and signs of partial or complete gastric outlet obstruction, unless being removed surgically through a midline incision gastrotomy to prevent complications.
📷Mention your friends & follow us @anatomie_umana for more! 💊💉🏥
#doctor #doctors #medicine #medical #skill #nurse #dentist #pharmacist #surgeon #anatomy #hospital #medstudent #medschool #medicalschool #medicalstudent #medicine #lifesaving #life #medlife #followme #science #blood #medicalvideo #humanbody #anatomieumana #umfiasi