Thakur Binay, Prasai Abha, Piya Umesh, Pathak Rishi
Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital (BPKMCH), Bharatpur, Nepal.
Nepal Med Coll J. 2007 Mar;9(1):67-9.
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Removal of gastric trichobezoar by open surgery (gastrotomy) is a standard approach. Psychiatric follow-up is needed to diminish the recurrence of trichotillomania and trichophagia. Here, we report a case of large gastric trichobezoar presenting as gastric outlet obstruction in a 13-years-old girl. She was treated with open surgical extraction of the bezoar and behavioral therapy.
毛发石是胃内,偶尔也在肠道内,由吞咽毛发形成的团块。它们发生在患有拔毛癖和食毛癖的情绪紊乱、抑郁或智力发育迟缓的患者中。通过开放手术(胃切开术)切除胃毛发石是一种标准方法。需要进行精神科随访以减少拔毛癖和食毛癖的复发。在此,我们报告一例13岁女孩因巨大胃毛发石导致胃出口梗阻的病例。她接受了毛发石开放手术摘除及行为治疗。