Jatal Sopan N, Jamadar Nawab P, Jadhav Bhagwat, Siddiqui Saleha, Ingle Sachin B
Sopan N Jatal, Jatal Hospital and Research Centre Latur, Maharashtra 4132512, India.
World J Clin Cases. 2015 May 16;3(5):466-9. doi: 10.12998/wjcc.v3.i5.466.
Trichobezoars (hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). Rapunzel syndrome remains uncommon; with fewer than 40 cases reported. To the best of our knowledge, this case may be the first well-documented case with a length of 75 cm. They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. Herein, we are reporting an interesting case of an 18-year mentally retarded girl with history of trichotillomania and trichophagia who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparoscopy.
胃石（毛球）通常位于胃内，但可能通过幽门延伸至十二指肠和小肠（长发公主综合征）。长发公主综合征仍然不常见，报告的病例少于40例。据我们所知，该病例可能是首例有详细记录、长度达75厘米的病例。它们几乎总是与拔毛癖和食毛癖或其他精神障碍相关。文献中提出了几种治疗选择，包括传统剖腹手术、腹腔镜手术和内窥镜检查。在此，我们报告一例有趣的病例，一名18岁智力发育迟缓女孩，有拔毛癖和食毛癖病史，因中腹部疼痛伴呕吐和便秘5天就诊于我们的急诊科。检查发现一个需要紧急手术干预的胃石，同时表明需要进行精神治疗。该胃石通过腹腔镜手术成功治疗。
