case_images: PMC2846351_01
case_images: Endoscopic image of a trichobezoar extending into the pylorus.
case_images: CRM2010-841028.001.jpg
case_images: PMC2846351_01_CRM2010-841028.001.jpg
case_images: fig1
case_images: A second endoscopy of the upper digestive tract was performed as part of the preoperative work-up, findings revealing a blackened, voluminous mass composed of strands of hair, fibrin and food residue in the stomach, located in the antrum and low body, extending towards the pylorus and blocking passage of the endoscope (Figures 1 and 2).
case_images: Endoscopic image of an intragastric trichobezoar.
case_images: CRM2010-841028.002.jpg
case_images: PMC2846351_01_CRM2010-841028.002.jpg
case_images: fig2
case_images: A second endoscopy of the upper digestive tract was performed as part of the preoperative work-up, findings revealing a blackened, voluminous mass composed of strands of hair, fibrin and food residue in the stomach, located in the antrum and low body, extending towards the pylorus and blocking passage of the endoscope (Figures 1 and 2).
case_images: Tomography image of a trichobezoar in the stomach.
case_images: CRM2010-841028.003.jpg
case_images: PMC2846351_01_CRM2010-841028.003.jpg
case_images: fig3
case_images: A computed tomography scan of the abdomen was also performed and, in addition to identifying a hypodense intragastric mass, results showed hypodense circular areas in the small bowel and the presence of bowel intussusception (Figures 3 and 4), findings compatible with the Rapunzel syndrome.
case_images: Tomography image of bowel invagination (arrow).
case_images: CRM2010-841028.004.jpg
case_images: PMC2846351_01_CRM2010-841028.004.jpg
case_images: fig4
case_images: A computed tomography scan of the abdomen was also performed and, in addition to identifying a hypodense intragastric mass, results showed hypodense circular areas in the small bowel and the presence of bowel intussusception (Figures 3 and 4), findings compatible with the Rapunzel syndrome.
case_images: Trichobezoar and strands of 1.6 meters in length removed at surgery.
case_images: CRM2010-841028.005.jpg
case_images: PMC2846351_01_CRM2010-841028.005.jpg
case_images: fig5
case_images: Gastrotomy was performed and the trichobezoar was removed together with strands in the shape of the stomach and the first portion of the duodenum, extending through the small intestine to a total length of 1.6 meters (Figure 5). 