Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

13 May 2019 : Case report  United Arab Emirates

Fungal Peritonitis with Fungus Balls, a Complication of Trichobezoars and Rapunzel Syndrome

Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care

Ehsan Sotoudeh1ABCDEF, Shabbir Hussain2ABD, Omid Shafaat3E, Houman Sotoudeh4BEF

DOI: 10.12659/AJCR.915517

Am J Case Rep 2019; 20:685-688

Abstract

BACKGROUND: Rapunzel syndrome is a rare condition involving the extension of bezoars from the stomach to the distal gastrointestinal tract. Laparotomy remains the gold standard treatment for this condition because of the size of the bezoars. Although bacterial peritonitis is a known complication of laparotomy in Rapunzel syndrome, very few cases of post-surgical fungal peritonitis have been reported in these patients.

CASE REPORT: In this case report we present Rapunzel syndrome complicated by post-surgical fungal peritonitis and formation of fungus balls. To our knowledge, fungal peritonitis with fungus balls has never been reported as a Rapunzel syndrome complication. 

CONCLUSIONS: It is important to cover Candida and other fungi with an antifungal regimen in pediatric patients with Rapunzel syndrome pre- and post-surgery. In addition, prolonged fever and septic symptoms post-surgery warrant a search for peritoneal fungus balls that are not simply responsive to anti-fungal therapy and may necessitate repeat laparotomy.

Keywords: Bezoars, Fungi, peritonitis, Candidiasis, Child, Intestinal Obstruction, Stomach, Tomography, X-Ray Computed

Add Comment 0 Comments

In Press

Case report  Switzerland

Adult Acute Appendicitis Complicated by Intestinal Malrotation: A Case Analysis

Am J Case Rep In Press; DOI: 10.12659/AJCR.949194  

Case report  China

Innovative Reconstruction of Depressed Abdominal Scars Using Adipofascial Flaps and W-Plasty

Am J Case Rep In Press; DOI: 10.12659/AJCR.948731  

Case report  China

Diffuse Large B-Cell Lymphoma with Cardiac Metastasis: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.947386  

Case report  Greece

Endovascular Embolization in Acquired Hemophilia A: A Case Study Highlighting Diagnostic and Therapeutic St...

Am J Case Rep In Press; DOI: 10.12659/AJCR.948268  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 101,937

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 54,506

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 38,182

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

07 Jul 2023 : Case report  Saudi Arabia 25,994

A Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...

DOI :10.12659/AJCR.940200

Am J Case Rep 2023; 24:e940200

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923