• Users Online: 628
  • Print this page
  • Email this page
CASE REPORT
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 42-44

Gastric ascariasis mimicking rapunzel syndrome in an epileptic patient: Learning points galore


1 Department of Medicine, Sanjay Gandhi Memorial Hospital, Government of NCT Delhi, New Delhi, India
2 Department of Obstetrics and Gynaecology, Sanjay Gandhi Memorial Hospital, Government of NCT Delhi, New Delhi, India

Correspondence Address:
Dr. Shalini Singh
BW- 70- C, Shalimar Bagh, Delhi - 110 088
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJMS.INJMS_5_18

Rights and Permissions

Rapunzel syndrome refers to a very rare condition in which swallowed hair forms a gastric trichobezoar that has a long tail extending into the small bowel. It presents with early satiety, malnutrition, obstructive symptoms, and sometimes, gastric-outlet obstruction. Despite the varied manifestations of Ascaris infestation in man, gastric ascariasis is rare which is demonstrated in the stomach by radiology and by endoscopic examination. We present a rare case of trichobezoar in a 14 years epileptic female with recurrent seizure episodes and no prior history of psychiatric illness or worm infestation where the final diagnosis of gastric ascariasis was made on upper gastrointestinal-endoscopy revealing the presence of worms at the level of the fundus and body of the stomach. Endoscopically some worms were removed, and the rest passed down dead in stools after antihelminthic treatment. Recovery was uneventful and free of complications. Frequent seizures could also be attributed to malabsorption of anti-epileptic drugs because of gastric ascariasis. A prompt diagnosis (tissue diagnosis and direct visualization) always scores above characteristic radiologic findings and appropriate therapy can reduce comorbidities.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed358    
    Printed84    
    Emailed0    
    PDF Downloaded50    
    Comments [Add]    

Recommend this journal