Jain Manish, Solanki Sohan Lal, Bhatnagar Ankur, Jain Pavan Kumar
Department of Plastic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Int J Trichology. 2011 Jul;3(2):102-4. doi: 10.4103/0974-7753.90820.
Rapunzel Syndrome is a rare trichobezoar, involving strands of swallowed hair extending as a tail through the duodenum, beyond the stomach. Trichobezoar usually occur in patients with history of trichotillomania, characterized by compulsive behavioral disorder of pulling own hairs, combined with trichophagia that consists of ingesting that hairs. It typically occurs in stomach and rarely affects the small intestine. Trichobezoars are more common in adolescent females. Common presentation is gastrointestinal tract obstruction with nausea and vomiting, gut perforation, acute pancreatic necrosis, obstructive jaundice, hypochromic anemia, vitamin B12 deficiency, weight loss, an abdominal mass, or other serious problems. Intestinal obstruction due to trichobezoar is extremely rare. We are here reporting a large trichobezoar in a 3-year-old male child who presented to the emergency department with thread protruding from mouth with no sign of hair loss on body.
长发公主综合征是一种罕见的毛石，由吞咽的毛发束组成，其尾部可延伸穿过十二指肠，超出胃部。毛石通常发生在有拔毛癖病史的患者中，其特征是存在强迫性拔自己毛发的行为障碍，并伴有吞食毛发的食毛癖。它通常发生在胃部，很少影响小肠。毛石在青春期女性中更为常见。常见表现为胃肠道梗阻伴恶心、呕吐、肠道穿孔、急性胰腺坏死、梗阻性黄疸、低色素性贫血、维生素B12缺乏、体重减轻、腹部肿块或其他严重问题。由毛石引起的肠梗阻极为罕见。我们在此报告一名3岁男童体内有一个巨大毛石，该患儿因口中有线状物突出而就诊于急诊科，其身体无脱发迹象。
