Kiernan Miles Finbar, Kamat Sachin, Olagbaiye Femi
Department of Surgery, Homerton University Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep. 2012 Jul 3;2012:bcr0220125787. doi: 10.1136/bcr-02-2012-5787.
A 45-year-old Afro-Caribbean woman attended the emergency department with worsening dysphagia, abdominal distension, abdominal pain, shortness of breath and generalised weakness. She enjoyed preparing and eating cows-feet stew and preferred to cook the meat with the hair and skin intact. On admission she had a severe microcytic anaemia and was malnourished. Abdominal x-ray and CT revealed a large gastric bezoar. At gastrotomy a foul-smelling 2.42 kg mass of hair, leathery skin and altered food were evacuated from the lesser curvature of the stomach. She had undergone the same procedure 8 years earlier to remove a similar trichobezoar. Following psychiatric review it was deemed that the patient had no underlying psychiatric condition and had full insight into why her trichobezoar had re-occurred. She made a good postoperative recovery and stopped eating cows-feet stew.
一名45岁的非洲加勒比裔女性因吞咽困难加重、腹胀、腹痛、呼吸急促和全身无力前往急诊科就诊。她喜欢烹制和食用牛蹄炖菜，并且更喜欢在烹制时保留毛发和外皮完整的牛蹄。入院时，她患有严重的小细胞贫血且营养不良。腹部X光和CT检查显示胃内有一个大的胃石。在胃切开术中，从胃小弯处取出了一个重达2.42千克、散发着恶臭的毛发、坚韧外皮和变质食物的团块。8年前她曾接受过同样的手术以取出类似的毛粪石。经过精神科评估，认为该患者没有潜在的精神疾病，并且对自己的毛粪石复发原因有充分的认识。她术后恢复良好，并停止食用牛蹄炖菜。
