Trichobezoar presenting with the 'comma sign' in Rapunzel Syndrome: a case report and literature review
2008

Case of Rapunzel Syndrome with Comma Sign

Sample size: 1 publication Evidence: low

Author Information

Author(s): Dindyal S, Bhuva NJ, Ramdass MJ, Narayansingh V

Primary Institution: Royal Cornwall Hospital NHS Trust

Conclusion

This case report describes a rare instance of Rapunzel Syndrome and introduces the 'comma sign' as a radiologic feature associated with it.

Supporting Evidence

  • The patient had a history of psychiatric issues and patchy alopecia.
  • A large mass of hair was found in the stomach and small intestine.
  • The 'comma sign' was identified on the abdominal radiograph.

Takeaway

A man swallowed a lot of hair, which caused a blockage in his stomach and intestines, and doctors found a special sign on his X-ray that looked like a comma.

Methodology

The case was diagnosed through physical examination, radiographic imaging, and surgical intervention.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 55-year-old man of East Indian descent.

Digital Object Identifier (DOI)

10.1186/1757-1626-1-286

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