Salem Mohamed, Fouda Ragai, Fouda Usama, Maadawy Mohamed E L, Ammar Hussam
Internal Medicine Department, Cairo University, Egypt.
South Med J. 2009 Jan;102(1):106-7. doi: 10.1097/SMJ.0b013e31818987b9.
Rapunzel, the girl with long golden tresses in the fairy tale, inspired Vaughan et al to describe, in 1968, cases of trichobezoar with a long tail causing bowel obstruction as "Rapunzel syndrome." A 22-year-old Egyptian woman had been suffering from episodes of epigastric pain and vomiting throughout her pregnancy and puerperium. After diagnosing pancreatitis, we discovered a trichobezoar in her stomach. In an emergent gastrotomy, she was found to have a gastric trichobezoar with a long tail extending down to her duodenum. This is one of the very few cases of Rapunzel syndrome to be complicated by pancreatitis; to our knowledge, it is the first to be reported postpartum.
童话中有着金色长发的长发公主,启发了沃恩等人在1968年将具有长尾并导致肠梗阻的毛粪石病例描述为“长发公主综合征”。一名22岁的埃及女性在整个孕期和产褥期都饱受上腹部疼痛和呕吐之苦。在诊断为胰腺炎后,我们在她的胃里发现了一个毛粪石。在急诊胃切开术中,发现她有一个胃毛粪石,其长尾向下延伸至十二指肠。这是极少数并发胰腺炎的长发公主综合征病例之一;据我们所知,这是首例产后报告的病例。