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Doctors find blockage in girl’s small intestine while kindergarten student undergoes routine checkup at clinic
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Doctors at the NMC Royal Hospital in Dubai Investment Park have successfully removed a large hairball measuring 20 cm long and 4 cm thick from the stomach of a 5-year-old girl.
The case was identified on 15 October when kindergarten student Diya Rajesh was undergoing a routine checkup at the clinic with severe stomach pain accompanied by vomiting. Her parents thought it was gastritis and consulted doctors in International City.
However, the case has become more complicated. Diya was recommended for a scan at NMC’s emergency department, which showed she had Rapunzel Syndrome.
Dr Venkatesh M Anigeri, a paediatric surgeon, noticed a complete blockage in the girl’s small intestine during an examination.
This extremely rare condition is named after the fairy tale Rapunzel Rapunzel. This usually occurs in young girls who have a habit of eating or ingesting hair.
“Abdominal Ultrasound and Enhanced Computed Tomography [CECT]this child was diagnosed with a rare clinical disorder, primary trichomonas lithostomy, that causes acute intestinal obstruction,” said Dr. Anigeri.
Turmeric refers to the accumulation of large amounts of hair in the gastrointestinal tract.
On October 18, doctors operated on Dia and removed a clump of hair 20cm long and 4cm thick from her small intestine.
Trichobezoar has been linked to mental illness affecting young girls. Patients tend to pull on the hair and eat it. Consumed hair is not digested.
Dr. Annegiri explained that the hair had accumulated in Diya’s stomach tract.
The girl’s father, Rajesh AM, said they were shocked to learn of his daughter’s condition. “Dia used to pick things up from the floor, sometimes from under the bed or under the table,” he recalls, adding that they were lucky that her condition was discovered at a very young age.
“It could cause more problems in a few years,” Rajesh said.
Doctors advise parents to be strictly vigilant with children with this habit and to consult a medical professional if a child complains of the disorder.
Rajesh said his daughter was doing well after she was discharged from the hospital on October 24.
“The doctor prescribed a strict diet and Diya should not eat junk food,” Rajesh said.
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