■长发公主综合征体现了一种罕见的毛虫变异,主要在有精神病史的个体中观察到,毛滴虫病,和食眼。这种因素的组合预示着最终形成胃石。毛黄,罕见的由毛发组成的胃肿块,如果不及时治疗会导致并发症。
方法:一名19岁的女性理发师因腹痛和呕吐发作而寻求医疗护理。随着体温升高和腹部僵硬,成像显示存在一个毛牛黄,伴有气腹和腹腔积液。紧急手术干预证实诊断为全身性化脓性急性腹膜炎,由20厘米的毛虫引起的胃穿孔引发,延伸到十二指肠,定义了长发公主综合症。进行胃切除术以去除毛黄,然后进行彻底的腹膜灌洗。
■毛黄是一种罕见的疾病,涉及固体物质的异常积累,尤其是头发,在胃里。被称为“长发公主综合症”,它可以延伸到十二指肠或空肠。通常与情绪障碍有关,毛黄会导致上腹部不适等症状,呕吐,和减肥。诊断是通过内窥镜检查,治疗包括液体摄入,内镜摘除术,化学溶解,和手术切除。手术干预通常是首选,考虑腹腔镜方法。患者通常需要进行精神病治疗。
结论:此病例强调了罕见的长发公主综合征,强调及时的手术措施和多学科护理引起急性腹膜炎的毛石。
UNASSIGNED: The Rapunzel syndrome embodies an uncommon variation of
trichobezoar, predominantly observed among individuals with a history of psychiatric conditions, trichotillomania, and trichophagia. This combination of factors predisposes to the eventual formation of gastric bezoars. Trichobezoars, infrequent gastric masses composed of hair, can lead to complications if left untreated.
METHODS: A 19-year-old female hairdresser with a history of trichophagia sought medical attention due to abdominal pain and episodes of vomiting. With an elevated body temperature and abdominal rigidity, imaging revealed the presence of a
trichobezoar, accompanied by pneumoperitoneum and intraperitoneal effusion. Urgent surgical intervention confirmed the diagnosis of generalized purulent acute peritonitis, triggered by a gastric perforation caused by a 20 cm trichobezoar with an extension into the duodenum, which defines the Rapunzel syndrome. Gastrotomy was performed to remove the
trichobezoar, followed by thorough peritoneal lavage.
UNASSIGNED: Trichobezoar is a rare condition that involves the abnormal accumulation of solid substances, particularly hair, within the stomach. Known as \"Rapunzel syndrome,\" it can extend into the duodenum or jejunum. Commonly associated with emotional disorders,
trichobezoar can lead to symptoms like epigastric discomfort, vomiting, and weight loss. Diagnosis is through endoscopy, and treatments include fluid intake, endoscopic extraction, chemical dissolution, and surgical removal. Surgical intervention is often preferred, with laparoscopic approaches considered. Psychiatric management is often required for patients.
CONCLUSIONS: This case underscores the uncommon Rapunzel syndrome presentation, emphasizing timely surgical measures and multidisciplinary care for trichobezoars causing acute peritonitis.