Zildzic Muharem, Salihefendic Nizama, Panzalovic Dusko, Matkovic Zoran, Misic Jovica
Medicus A Gracanica, Bosnia and Herzegovina.
Med Arch. 2013;67(3):212-4. doi: 10.5455/medarh.2013.67.212-214.
Trichobezoar of gastrointestinal tract is an uncommon clinical condition and can present diagnostic and therapeutic challenge in practice. Clinical manifestations vary from no symptoms to serious complications. Delay in diagnosis may lead to an acute abdominal syndrome with lethal consequences, because of perforation, bleeding and obstruction of gastrointestinal tract. The most useful diagnostic procedure is gastroscopy. Large trichobezoars are difficult to remove endoscopically, so majority of cases require surgery.
We report a unique case of large gastric trichobezoar in young female with nonspecific symptomatology but with palpable huge epigastric mass and rare complications: multiply gastric ulcers and antral polyposis.
After operative removal of the bezoars ulcers healed completely, but antral polyposis persists.
胃肠道毛粪石是一种不常见的临床病症，在实际中会带来诊断和治疗挑战。临床表现从无症状到严重并发症不等。诊断延迟可能导致急性腹部综合征并产生致命后果，原因是胃肠道穿孔、出血和梗阻。最有用的诊断方法是胃镜检查。大型毛粪石难以通过内镜取出，因此大多数病例需要手术治疗。
我们报告了一例年轻女性的大型胃毛粪石独特病例，该患者有非特异性症状，但可触及巨大的上腹部肿块，且有罕见并发症：多发性胃溃疡和胃窦息肉病。
手术切除毛粪石后溃疡完全愈合，但胃窦息肉病持续存在。
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