Abstract
Anorexia nervosa is a medical and psychological disorder classically seen in young women who present with significant weight loss, a distorted body image, and an intense fear of gaining weight despite being underweight. A rare diagnosis that is also associated with weight loss is a trichobezoar, a collection of hair or hair-like fibers in the gastrointestinal tract, primarily in the stomach. In this report, we present the case of a 14.5-year-old girl with weight loss caused by a trichobezoar, initially thought to be due to anorexia nervosa, and we review the details of both disorders.
References
1. Rosen DS. Identification and management of eating disorders in children and adolescents. Pediatrics 2010;126:1240–53.10.1542/peds.2010-2821Search in Google Scholar PubMed
2. Scobie BA. Acute gastric dilatation and duodenal ileus in anorexia nervosa. Med J Aust 1973;2:932–4.10.5694/j.1326-5377.1973.tb129824.xSearch in Google Scholar PubMed
3. Birmingham CL, Cardew S, Gritzner S. Gastric bezoar in anorexia nervosa. Eating Weight Disord 2007;12:e28–9.10.1007/BF03327586Search in Google Scholar PubMed
4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing, 2013.10.1176/appi.books.9780890425596Search in Google Scholar
5. Fisher M. Treatment of eating disorders in children, adolescents, and young adults. Pediatr Rev 2006;27:5–15.10.1542/pir.27.1.5Search in Google Scholar
6. Gonuguntla V, Joshi DD. Rapunzel syndrome: a comprehensive review of an unusual case of trichobezoar. Clin Med Res 2009;7:99–102.10.3121/cmr.2009.822Search in Google Scholar PubMed PubMed Central
7. Neychev V, Famiglietti J, Saldinger PF. Telling the tale of Rapunzel syndrome. Surgery 2013;153:297–8.10.1016/j.surg.2011.07.074Search in Google Scholar PubMed
8. Frey AS, McKee M, King RA, Martin A. Hair apparent: Rapunzel syndrome. Am J Psychiatry 2005;162:242–8.10.1176/appi.ajp.162.2.242Search in Google Scholar PubMed
9. Hoover K, Piotrowski J, St. Pierre K, Katz A, Goldstein AM. Simultaneous gastric and small intestinal trichobezoars – a hairy problem. J Pediatr Surg 2006;41:1495–7.10.1016/j.jpedsurg.2006.04.003Search in Google Scholar PubMed
©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Editorial
- Sleeping while driving
- Review
- The contribution of fat-free mass to resting energy expenditure: implications for weight loss strategies in the treatment of adolescent obesity
- Original Articles
- Gender comparisons of adolescents’ anthropometry and blood pressure in Osun State, South-Western Nigeria
- Perceived social support and parental education as determinants of adolescents’ physical activity and eating behaviour: a cross-sectional survey
- Educational intervention for parents of adolescents with chronic illness: a pre-post test pilot study
- Clinic attendance and health outcomes of youth with type 2 diabetes mellitus
- Congruence in reported frequency of parent-adolescent sexual health communication: A study from Mexico
- Knowledge and awareness of HIV/AIDS among students of a technical institution
- Prevalence of cigarette and water pipe smoking and their predictors among Iranian adolescents
- Socio-demographic and dietary factors associated with obesity among female university students in Jordan
- Difference in mental state between Internet-addicted and non-addicted Japanese undergraduates
- Dental aesthetics perception and eating behavior in adolescence
- Multiple sexual partnerships among female adolescents in rural Uganda: the effects of family structure and school attendance
- Substance use avoidance among Iranian male adolescents: a comparison of three versions of the theory of reasoned action
- Nutrition intake and physical activity in a middle school in New York City
- Sleep in university students across years of university education and gender influences
- Case Reports
- Delayed diagnosis of trichobezoar in a patient with presumed anorexia nervosa
- Atrial fibrillation in a healthy adolescent after heavy smoking of contraband cigarettes
- Short Communication
- Tobacco use among adolescents in Riyadh Saudi Arabia
Articles in the same Issue
- Frontmatter
- Editorial
- Sleeping while driving
- Review
- The contribution of fat-free mass to resting energy expenditure: implications for weight loss strategies in the treatment of adolescent obesity
- Original Articles
- Gender comparisons of adolescents’ anthropometry and blood pressure in Osun State, South-Western Nigeria
- Perceived social support and parental education as determinants of adolescents’ physical activity and eating behaviour: a cross-sectional survey
- Educational intervention for parents of adolescents with chronic illness: a pre-post test pilot study
- Clinic attendance and health outcomes of youth with type 2 diabetes mellitus
- Congruence in reported frequency of parent-adolescent sexual health communication: A study from Mexico
- Knowledge and awareness of HIV/AIDS among students of a technical institution
- Prevalence of cigarette and water pipe smoking and their predictors among Iranian adolescents
- Socio-demographic and dietary factors associated with obesity among female university students in Jordan
- Difference in mental state between Internet-addicted and non-addicted Japanese undergraduates
- Dental aesthetics perception and eating behavior in adolescence
- Multiple sexual partnerships among female adolescents in rural Uganda: the effects of family structure and school attendance
- Substance use avoidance among Iranian male adolescents: a comparison of three versions of the theory of reasoned action
- Nutrition intake and physical activity in a middle school in New York City
- Sleep in university students across years of university education and gender influences
- Case Reports
- Delayed diagnosis of trichobezoar in a patient with presumed anorexia nervosa
- Atrial fibrillation in a healthy adolescent after heavy smoking of contraband cigarettes
- Short Communication
- Tobacco use among adolescents in Riyadh Saudi Arabia