Evidence map›Paper›PMID 42344861›Full record

ArticleJournal of surgical case reports2026

Giant gastric trichobezoar (Rapunzel syndrome) presenting as gastric outlet obstruction with imaging features suggestive of secondary superior mesenteric artery syndrome in a 27-year-old female: surgical management and multidisciplinary approach.

Pedro Agustin Lovato Gutiérrez, Francisco Molina

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Pedro Agustin Lovato GutiérrezDepartment of General Surgery, Hospital de los Valles, Av. Interoceánica Km 12 1/2 y Av. Florencia, Quito 170902, Pichincha, Ecuador.ORCID https://orcid.org/0000-0002-4341-919X
Francisco MolinaResident in Emergency Medicine, Hospital Verdi Cevallos Balda, Av. Universitaria y Calle 15 de Abril, Portoviejo, Manabí, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trichobezoars are rare intragastric masses composed of ingested hair, most commonly affecting young females with underlying psychiatric conditions. Rapunzel syndrome is a rare variant characterized by extension beyond the stomach into the small intestine. We report the case of a 27-year-old female with a 6-month history of abdominal pain, vomiting, weight loss, and intolerance to oral intake. Endoscopy revealed a large gastric trichobezoar occupying ~90% of the gastric lumen, causing functional pyloric obstruction. Contrast-enhanced computed tomography demonstrated marked gastric and proximal duodenal dilation with imaging features suggestive of secondary superior mesenteric artery (SMA) syndrome (Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome.

Indexed as

computed tomographygastric outlet obstructionlaparotomyRapunzel syndromesuperior mesenteric artery syndrometrichobezoar

Identifiers

PMID42344861
PMCPMC13289851

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.