胃出口梗阻的罕见病因：巨大胃毛石症：一例报告
Unusual cause of gastric outlet obstruction: giant gastric trichobezoar: a case report.
作者信息
Yetim Ibrahim, Ozkan Orhan Veli, Semerci Ersan, Abanoz Recep
机构信息
Mustafa Kemal University, Faculty of Medicine, Department of General Surgery, Antakya/Hatay, Turkey.
出版信息
Cases J. 2008 Dec 16;1(1):399. doi: 10.1186/1757-1626-1-399.
BACKGROUND
Trichobezoars are caused by hair ingestion. The usual presentation of a trichobezoar is with early satiety and malnutrition. Obstructive symptoms and manifestations of gastric outlet obstruction may occur. The diagnosis may be suspected in young females with malnutrition, who have a history of trichophagia.
CASE PRESENTATION
We report a case of 12-year-old female admitted to the emergency room for abdominal pain. On physical examination, she was cachectic and an epigastric mass was palpated. An exploratory laparotomy was conducted. A giant trichobezoar was palpated in the stomach and was removed through an anterior gastrostomy.
CONCLUSION
There were no complications postoperatively and the patient was referred to a psychiatrist.
背景
毛石是由毛发摄入引起的。毛石的常见表现为早饱感和营养不良。可能会出现梗阻症状及胃出口梗阻的表现。对于有食毛症病史且营养不良的年轻女性，可能会怀疑该诊断。
病例报告
我们报告一例12岁女性因腹痛入住急诊室。体格检查时，她消瘦，上腹部可触及肿块。进行了剖腹探查术。在胃内触及一个巨大毛石，并通过胃前壁造口术将其取出。
结论
术后无并发症，患者被转诊至精神科医生处。
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