Abstract:
Trichobezoars are conglomerates of hair within the gastro-intestinal tract, commonly detected in the stomach, and they can present with the Rapunzel syndrome. Isolated small-bowel trichobezoars are extremely rare. Three female patients presented with abdominal pain and bilious vomiting, and underwent various imaging examinations. Two were diagnosed with small-bowel trichobezoars with intestinal obstruction and one with intestinal obstruction only. All three underwent surgery. Two underwent laparoscopic exploration and one underwent a laparotomy. One and two patients had isolated small-bowel trichobezoars in the ileum and jejunum, respectively. Two patients were followed up by a psychiatrist, and all recovered well without recurrence. These three cases emphasise the importance of a comprehensive medical history and imaging in patients with small-bowel obstruction to determine the possibility of bezoars.
摘要:
毛黄是胃肠道内的毛发聚集体,通常在胃中检测到,他们会出现长发公主综合症。孤立的小肠毛虫极为罕见。三名女性患者出现腹痛和胆汁性呕吐,并接受了各种影像学检查。其中2例被诊断为小肠滴虫伴肠梗阻,1例仅被诊断为肠梗阻。三人都接受了手术。两名接受了腹腔镜探查,一名接受了剖腹手术。1例和2例患者在回肠和空肠有孤立的小肠毛孔,分别。两名患者接受了精神病医生的随访,都恢复得很好,没有复发。这三个病例强调了小肠梗阻患者全面病史和影像学检查的重要性,以确定结石的可能性。