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10.1186/s12887-018-1097-8 http://scihub22266oqcxt.onion/10.1186/s12887-018-1097-8 C5883293!5883293 !29614986     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29614986 &cmd=llinks): Failed to open stream: HTTP request failed! 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Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department |pdf=|usr=}}{{29614986 }} gab.com Text Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department JO: BMC Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=29614986 #FOAvip BACKGROUND: Iron deficiency anemia (IDA) and abdominal pain are commonly seen in a pediatric emergency department (8 and 18% incidence respectively in our center). They are manifestations of a wide variety of diseases ranging from benign to immediately life-threatening. Trichobezoar is an under-diagnosed entity that has to be considered in children and adolescents, expecially female, suffering from trichotillomania (compulsion to pull hair) and trichophagy (compulsion to swallow hair). When undiagnosed, gastric bezoars may cause gastric ulceration, perforation, haemorrhage and obstruction. CASE PRESENTATION: To underline the importance of including this pathology in the differential diagnosis of IDA and abdominal pain, we present the case of a 14 year-old girl with a huge trichobezoar which completely filled the stomach and extended into the small bowel. Since trichobezoar has an extension to the small bowel, it is classified as Rapunzel syndrome. As the bezoar couldn't be removed by endoscopy, the girl underwent surgical intervention. The patient passed through a gradual re-feeding, with iron and vitamins supplementation, and through a psychiatric counselling. CONCLUSION: The Rapunzel syndrome is a rare entity that may be complicated by life-threatening events. A prompt diagnosis and an appropriate therapy can reduce comorbidities. Gradual re-feeding with supplementation of micronutrients allows adequate catch-up weight with normalization of haematochemical nutritional parameters. Since many of these patients suffer from psychiatric pathology such as PICA with emotional problems and mental retardation, psychological/psychiatric counselling plays an important role in order to prevent bezoar recurrence. Twit Text FOAVip Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department ????BMC Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=29614986 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29614986 #FOAvip English Wikipedia <ref>{{Cite pmid|29614986 }}</ref> Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department #MMPMID29614986 Cannalire G ; Conti L ; Celoni M ; Grassi C ; Cella A ; Bensi G ; Capelli P ; Biasucci G BMC Pediatr 2018[Apr]; 18 (1 ): 125 PMID29614986 show ga BACKGROUND: Iron deficiency anemia (IDA) and abdominal pain are commonly seen in a pediatric emergency department (8 and 18% incidence respectively in our center). They are manifestations of a wide variety of diseases ranging from benign to immediately life-threatening. Trichobezoar is an under-diagnosed entity that has to be considered in children and adolescents, expecially female, suffering from trichotillomania (compulsion to pull hair) and trichophagy (compulsion to swallow hair). When undiagnosed, gastric bezoars may cause gastric ulceration, perforation, haemorrhage and obstruction. CASE PRESENTATION: To underline the importance of including this pathology in the differential diagnosis of IDA and abdominal pain, we present the case of a 14 year-old girl with a huge trichobezoar which completely filled the stomach and extended into the small bowel. Since trichobezoar has an extension to the small bowel, it is classified as Rapunzel syndrome. As the bezoar couldn't be removed by endoscopy, the girl underwent surgical intervention. The patient passed through a gradual re-feeding, with iron and vitamins supplementation, and through a psychiatric counselling. CONCLUSION: The Rapunzel syndrome is a rare entity that may be complicated by life-threatening events. A prompt diagnosis and an appropriate therapy can reduce comorbidities. Gradual re-feeding with supplementation of micronutrients allows adequate catch-up weight with normalization of haematochemical nutritional parameters. Since many of these patients suffer from psychiatric pathology such as PICA with emotional problems and mental retardation, psychological/psychiatric counselling plays an important role in order to prevent bezoar recurrence. |Abdominal Pain/*etiology [MESH] |Adolescent [MESH] |Anemia, Iron-Deficiency/*etiology [MESH] |Bezoars/*complications/diagnostic imaging/surgery [MESH] |Diagnosis, Differential [MESH] |Duodenum/diagnostic imaging/surgery [MESH] |Emergency Service, Hospital [MESH] |Female [MESH] |Humans [MESH] |Pica/*complications [MESH] |Stomach/diagnostic imaging/surgery [MESH] |Syndrome [MESH] |Tomography, X-Ray Computed [MESH] |Trichotillomania/*complications [MESH]Rapunzel syndrome: an infrequent cause of severe iron deficiency anemi(epmc).pdf DeepDyve Pubget Overpricing