PDF(Pubmed)
Abstract：
BACKGROUND: Trichobezoar is an extremely rare condition characterized by a foreign body in the gastrointestinal tract (GIT) among children. The foreign body may exist in the digestive tract for several years, and it becomes evident if complications develop. The current study aimed to present 21 cases of GIT trichobezoars.
METHODS: Retrospective analysis of children who were diagnosed with trichobezoars between August 2012 and December 2022. Patient demographics, clinical presentation, diagnosis, and therapy were collected and analyzed.Twenty-one patients had GIT trichobezoars. Data were collected and analyzed retrospectively.
RESULTS: Twenty-one patients were identified. All patients were female. Their mean age at admission was 8.9 ± 1.9 years. Furthermore, 19 (90.5%) patients presented with abdominal pain, 16 (76.2%) with vomiting, and 13 (61.9%) with a palpable mass. Sixteen patients underwent gastroduodenoscopy. Among them, 15 had gastric trichobezoars. Moreover, 12 patients underwent computed tomography scan. Eight patients presented with gastric and small intestinal BZs, one presented with increased small intestinal contents with dilation, and one presented with abundant gastric contents. Then, 20 patients underwent surgery. Among them, five underwent laparoscopic-assisted minilaparotomy (LAML), and the rest underwent laparotomy. The results showed that 10 (50%) patients had gastric trichobezoars; 7 (35%), Rapunzel syndrome; and 3 (15%), small bowel trichobezoars. Two patients developed superficial wound infection postoperatively. One patient had a recurrent gastric trichobezoar.
CONCLUSIONS: Trichobezoar should be considered in young girls with a history of hair eating or those with hair in the vomit or feces. Timely diagnosis and aggressive treatment are the keys to reducing complications and improving prognosis. Laparoscopic-assisted minilaparotomy is a safe, feasible, and effective surgical method for treating trichobezoars.
METHODS: Retrospective analysis of children who were diagnosed with trichobezoars between August 2012 and December 2022. Patient demographics, clinical presentation, diagnosis, and therapy were collected and analyzed.Twenty-one patients had GIT trichobezoars. Data were collected and analyzed retrospectively.
RESULTS: Twenty-one patients were identified. All patients were female. Their mean age at admission was 8.9 ± 1.9 years. Furthermore, 19 (90.5%) patients presented with abdominal pain, 16 (76.2%) with vomiting, and 13 (61.9%) with a palpable mass. Sixteen patients underwent gastroduodenoscopy. Among them, 15 had gastric trichobezoars. Moreover, 12 patients underwent computed tomography scan. Eight patients presented with gastric and small intestinal BZs, one presented with increased small intestinal contents with dilation, and one presented with abundant gastric contents. Then, 20 patients underwent surgery. Among them, five underwent laparoscopic-assisted minilaparotomy (LAML), and the rest underwent laparotomy. The results showed that 10 (50%) patients had gastric trichobezoars; 7 (35%), Rapunzel syndrome; and 3 (15%), small bowel trichobezoars. Two patients developed superficial wound infection postoperatively. One patient had a recurrent gastric trichobezoar.
CONCLUSIONS: Trichobezoar should be considered in young girls with a history of hair eating or those with hair in the vomit or feces. Timely diagnosis and aggressive treatment are the keys to reducing complications and improving prognosis. Laparoscopic-assisted minilaparotomy is a safe, feasible, and effective surgical method for treating trichobezoars.
摘要：
背景：毛黄是一种极为罕见的疾病，其特征是儿童胃肠道（GIT）中的异物。异物可能在消化道中存在几年，如果出现并发症，就会变得很明显。本研究旨在介绍21例GIT滴虫。
方法：回顾性分析2012年8月至2022年12月间被诊断为毛虫的儿童。患者人口统计学，临床表现,诊断,收集和分析治疗方法。21名患者患有GIT毛孔。收集数据并进行回顾性分析。
结果：确定了21例患者。所有患者均为女性。他们入院时的平均年龄为8.9±1.9岁。此外，19例（90.5%）患者出现腹痛，16人（76.2%）伴有呕吐，和13（61.9％）有明显的肿块。16例患者接受了胃十二指肠镜检查。其中,15人患有胃液。此外，12例患者接受了计算机断层扫描扫描。八名患者出现胃和小肠BZs，一个表现为扩张的小肠内容物增加，和一个有丰富的胃内容物。然后，20例患者接受手术治疗。其中,5人接受了腹腔镜辅助小切口手术（LAML），其余的做了剖腹手术.结果显示10例(50%)患者有胃毛虫;7例(35%),长发公主综合征；和3（15％），小肠滴虫。两名患者术后出现浅表伤口感染。一名患者的胃毛黄复发。
结论：在有头发进食史的年轻女孩或在呕吐物或粪便中有头发的女孩中，应考虑使用毛黄。及时诊断和积极治疗是减少并发症和改善预后的关键。腹腔镜辅助开腹手术是一种安全的，可行,治疗毛孔的有效手术方法。
方法：回顾性分析2012年8月至2022年12月间被诊断为毛虫的儿童。患者人口统计学，临床表现,诊断,收集和分析治疗方法。21名患者患有GIT毛孔。收集数据并进行回顾性分析。
结果：确定了21例患者。所有患者均为女性。他们入院时的平均年龄为8.9±1.9岁。此外，19例（90.5%）患者出现腹痛，16人（76.2%）伴有呕吐，和13（61.9％）有明显的肿块。16例患者接受了胃十二指肠镜检查。其中,15人患有胃液。此外，12例患者接受了计算机断层扫描扫描。八名患者出现胃和小肠BZs，一个表现为扩张的小肠内容物增加，和一个有丰富的胃内容物。然后，20例患者接受手术治疗。其中,5人接受了腹腔镜辅助小切口手术（LAML），其余的做了剖腹手术.结果显示10例(50%)患者有胃毛虫;7例(35%),长发公主综合征；和3（15％），小肠滴虫。两名患者术后出现浅表伤口感染。一名患者的胃毛黄复发。
结论：在有头发进食史的年轻女孩或在呕吐物或粪便中有头发的女孩中，应考虑使用毛黄。及时诊断和积极治疗是减少并发症和改善预后的关键。腹腔镜辅助开腹手术是一种安全的，可行,治疗毛孔的有效手术方法。
