Sanneerappa Phani Bhushan Jeerigehalli, Hayes Hannah Marie, Daly Edwina, na Moodley Visalatchee
Department of Paediatrics, Registrar, Health Service Executive, Portlaoise, Ireland.
Department of Paediatrics, MRHP, Portlaoise, Ireland.
BMJ Case Rep. 2014 Apr 30;2014:bcr2013201569. doi: 10.1136/bcr-2013-201569.
An 11-year-old girl with normal development and good academic progress at school presented with an abdominal mass. She lived with her aunt as her mother suffered from severe bipolar disorder and was unable to raise her. There were also multiple bereavements in the family. She had a history of alopecia and admitted to have eaten her hair to relieve stress. Examination was normal apart from a solid mass in the left hypogastrium. CT abdomen revealed a huge intra-abdominal mass covering most of the lumen. Open laparotomy was performed to remove the mass which was confirmed to be a trichobezoar. She made a good postoperative recovery and was discharged after 7 days. She has been referred to psychology services. Bereavement alone without psychiatric, physical disability or autism can be associated with trichobezoar. More studies are needed to study the association of trichotillomania, trichophagia and trichobezoar.
一名发育正常、学业成绩良好的11岁女孩因腹部肿块前来就诊。她与姨妈一起生活，因为她的母亲患有严重的双相情感障碍，无法抚养她。家里还经历了多次亲人离世。她有脱发史，承认曾吃头发来缓解压力。除左下腹有一个实性肿块外，检查结果均正常。腹部CT显示一个巨大的腹腔内肿块，占据了大部分肠腔。进行了开腹手术以切除肿块，证实为毛粪石。她术后恢复良好，7天后出院。她已被转介至心理服务部门。单纯的丧亲之痛，若没有精神疾病、身体残疾或自闭症，可能与毛粪石有关。需要更多研究来探讨拔毛癖、食毛癖与毛粪石之间的关联。
