内镜取出的食管毛粪石中的隐匿宝藏。
Hidden treasure in an endoscopically retrieved oesophageal trichobezoar.
作者信息
Renji Elizabeth, Nathan Anand K, Dalzell Mark A
机构信息
Department of Paediatric Gastroenterology, Alderhey Childrens Hospital, Liverpool, UK.
出版信息
BMJ Case Rep. 2013 Jan 18;2013:bcr2012007858. doi: 10.1136/bcr-2012-007858.
A 12-year-old girl with Smith-Lemli-Opitz syndrome and gastrostomy dependency presented with multiple episodes of coffee ground vomits. An upper gastrointestinal endoscopy revealed a trichobezoar in the lower oesophagus, with a 'hidden treasure'-a retained end of a G tube at the core. Endoscopic retrieval led to resolution of symptoms. Literature is scant with only one previous report of an oesophageal trichobezoar. Techniques of removal of percutaneous endoscopic gastrostomy in children are reviewed. The pathogenesis, preventative measures and management for oesophageal trichobezoars are discussed.
一名患有史密斯-勒米-奥皮茨综合征且依赖胃造口术的12岁女孩出现多次咖啡渣样呕吐。上消化道内镜检查发现食管下段有一个毛粪石，其核心部位有一个“隐藏的宝贝”——一根胃造口管的残留端。内镜下取出后症状得以缓解。相关文献很少，此前仅有一篇关于食管毛粪石的报道。本文回顾了儿童经皮内镜下胃造口术的移除技术。并讨论了食管毛粪石的发病机制、预防措施及治疗方法。
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