PDF(Pubmed)
Abstract：
UNASSIGNED: Rapunzel syndrome is a rare trichobezoar variant extending from the gastric cavity into the small bowel.
UNASSIGNED: We report the case of a 22-year-old woman who presented with epigastric pain, nausea, and loss of appetite within the preceding five weeks. She had a palpable mass in the epigastric area with mild localized tenderness. Her abdominal computed tomography scan showed a distended stomach and duodenum, with a heterogeneous solid material, suspicious for a bezoar. Upper gastrointestinal endoscopy revealed a large, densely packed trichobezoar occupying the gastric cavity and extending through the pylorus. Endoscopic removal of the bezoar was unsuccessful. The patient underwent a 6cm-long gastrotomy, and the 150cm-long bezoar, extending from the stomach to the jejunum, was uneventfully removed. The patient was referred postoperatively to a dietitian and psychiatrist for management of her trichotillomania and trichophagia.
UNASSIGNED: Trichobezoars are commonly found in young females with a history of trichotillomania and trichophagia and are associated with psychiatric disorders. HIPPOKRATIA 2023, 27 (1):25-27.
UNASSIGNED: We report the case of a 22-year-old woman who presented with epigastric pain, nausea, and loss of appetite within the preceding five weeks. She had a palpable mass in the epigastric area with mild localized tenderness. Her abdominal computed tomography scan showed a distended stomach and duodenum, with a heterogeneous solid material, suspicious for a bezoar. Upper gastrointestinal endoscopy revealed a large, densely packed trichobezoar occupying the gastric cavity and extending through the pylorus. Endoscopic removal of the bezoar was unsuccessful. The patient underwent a 6cm-long gastrotomy, and the 150cm-long bezoar, extending from the stomach to the jejunum, was uneventfully removed. The patient was referred postoperatively to a dietitian and psychiatrist for management of her trichotillomania and trichophagia.
UNASSIGNED: Trichobezoars are commonly found in young females with a history of trichotillomania and trichophagia and are associated with psychiatric disorders. HIPPOKRATIA 2023, 27 (1):25-27.
摘要：
■长发公主综合征是一种罕见的从胃腔延伸到小肠的毛虫变体。
■我们报告了一个22岁的女性，她出现上腹痛，恶心,在过去的五周内食欲不振。她在上腹部区域有明显的肿块，有轻度的局部压痛。她的腹部计算机断层扫描显示胃和十二指肠扩张，用异质固体材料，怀疑牛黄。上消化道内镜显示，密集堆积的毛黄占据胃腔并延伸穿过幽门。内窥镜切除牛黄不成功。病人接受了6厘米长的胃切开术,和150厘米长的牛黄，从胃延伸到空肠,被顺利删除。该患者在术后被转诊给营养师和精神科医生，以治疗她的毛滴虫病和食喉病。
■毛滴虫病常见于有毛滴虫病和食毛虫史的年轻女性，并与精神疾病有关。HIPPOKRATIA2023,27(1):25-27.
■我们报告了一个22岁的女性，她出现上腹痛，恶心,在过去的五周内食欲不振。她在上腹部区域有明显的肿块，有轻度的局部压痛。她的腹部计算机断层扫描显示胃和十二指肠扩张，用异质固体材料，怀疑牛黄。上消化道内镜显示，密集堆积的毛黄占据胃腔并延伸穿过幽门。内窥镜切除牛黄不成功。病人接受了6厘米长的胃切开术,和150厘米长的牛黄，从胃延伸到空肠,被顺利删除。该患者在术后被转诊给营养师和精神科医生，以治疗她的毛滴虫病和食喉病。
■毛滴虫病常见于有毛滴虫病和食毛虫史的年轻女性，并与精神疾病有关。HIPPOKRATIA2023,27(1):25-27.
