Digestive Endoscopy Unit, Military Central Hospital, Algiers, Algeria
Gastroenterol Rep (Oxf). 2016 Aug;4(3):251-3. doi: 10.1093/gastro/gov013. Epub 2015 Apr 15.
Trichobezoars are rare, composed of hair and more common in female pediatric patients with psychiatric disorders. Open surgical extraction is the most common removal method. Only two endoscopic removals after fragmentation have been reported in the English literature. We report herein a third case of a trichobezoar that was successfully retrieved after endoscopic fragmentation with snare polypectomy and argon plasma coagulation in a six-year-old female patient. The trichobezoar mass was completely removed in 10 pieces after 15 passes. The patient's course was uneventful. Nine months later, she is doing well. This endoscopic removal was effective, minimally invasive and time saving.
毛粪石很罕见，由毛发组成，更常见于有精神障碍的女性儿科患者。开放性外科手术切除是最常见的取出方法。英文文献中仅报道过两次内镜下碎石后取出的病例。我们报告了第三例 6 岁女性患者，通过内镜下圈套息肉切除术和氩等离子凝固术成功碎取并取出毛粪石。10 次 15 圈后，整块毛粪石完全取出，共 10 块。患者的病程顺利。9 个月后，患者恢复良好。该内镜下取出术有效、微创且省时。
