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Abstract：
Rapunzel syndrome is a rare form of gastric trichobezoar. A 4-year-old girl presented with generalised oedema and an epigastric mass. Her family was of a relatively low socio-economic background. There was microcytic hypochromic anaemia, hypoalbuminaemia and an elevated α1-antitrypsin clearance. Abdominal ultrasound and non-contrast computed tomography demonstrated a heterogeneous mass related to the stomach. Upper gastro-intestinal tract endoscopy failed to remove it. Surgical laparotomy was undertaken through a single anterior gastrotomy incision and a large mass was extracted which was a cast of the duodenum and stomach and had a tail of approximately 60 cm in length which extended to the jejunum. Low socio-economic status, child neglect and pica are risk factors for trichobezoars. Surgical laparotomy is the optimal treatment of large bezoars.
摘要：
长发公主综合征是一种罕见的胃毛虫。一名4岁女孩出现全身水肿和上腹部肿块。她的家庭社会经济背景相对较低。有小细胞性低色素性贫血,低白蛋白血症和α1-抗胰蛋白酶清除率升高。腹部超声和非对比计算机断层扫描显示出与胃有关的异质性。上消化道内窥镜检查未能将其取出。通过单个前胃切开术进行剖腹手术，并抽出一个大肿块，该肿块是十二指肠和胃的铸型，尾巴长约60厘米，延伸至空肠。社会经济地位低，儿童忽视和异食癖是毛黄的危险因素。手术剖腹手术是大牛石的最佳治疗方法。
