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长发公主综合征的诊断与治疗

The diagnosis and treatment of Rapunzel syndrome.

作者信息

Wang Zhe, Cao Feng, Liu Diangang, Fang Yu, Li Fei

机构信息

Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing, PR China.

出版信息

Acta Radiol Open. 2016 Nov 22;5(11):2058460115627660. doi: 10.1177/2058460115627660. eCollection 2016 Nov.

DOI:10.1177/2058460115627660
PMID:27900201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5122172/
Abstract

Trichobezoars are hairballs or hair-like fibers formed by chewing and swallowing hair or any other indigestible materials. Trichobezoars usually form in the gastric body and are thus prepyloric. However, trichobezoars may rarely pass through the pylorus into the duodenum, jejunum, ileum, and even the colon, in a condition referred to as Rapunzel syndrome. Here, we present a case of a 13-year-old girl with this rare syndrome and discuss the diagnosis and treatment of the disease.

摘要

毛粪石是由咀嚼并吞咽毛发或任何其他难以消化的物质形成的毛球或毛发样纤维。毛粪石通常在胃体形成,因此位于幽门前。然而,毛粪石很少会通过幽门进入十二指肠、空肠、回肠,甚至结肠,这种情况被称为长发公主综合征。在此,我们报告一例患有这种罕见综合征的13岁女孩病例,并讨论该疾病的诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/ceb5ed1240db/10.1177_2058460115627660-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/c701917eff1e/10.1177_2058460115627660-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/adc9df4b79b2/10.1177_2058460115627660-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/5f30fcc295a0/10.1177_2058460115627660-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/aafed13be7ed/10.1177_2058460115627660-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/ceb5ed1240db/10.1177_2058460115627660-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/c701917eff1e/10.1177_2058460115627660-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/adc9df4b79b2/10.1177_2058460115627660-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/5f30fcc295a0/10.1177_2058460115627660-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/aafed13be7ed/10.1177_2058460115627660-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/5122172/ceb5ed1240db/10.1177_2058460115627660-fig5.jpg

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引用本文的文献

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J Clin Med. 2024 Dec 8;13(23):7464. doi: 10.3390/jcm13237464.
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Rapunzel Syndrome: Diagnostic Challenges and Multidisciplinary Treatment Strategies.长发公主综合征:诊断挑战与多学科治疗策略
Cureus. 2024 May 29;16(5):e61294. doi: 10.7759/cureus.61294. eCollection 2024 May.
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Gastrointestinal Bezoars in Paediatrics: Case Series and Literature Review.儿科胃石症:病例系列及文献复习。

本文引用的文献

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The surgical management of Rapunzel syndrome: a case series and literature review.Rapunzel 综合征的外科治疗:病例系列和文献复习。
J Pediatr Surg. 2013 Apr;48(4):830-4. doi: 10.1016/j.jpedsurg.2012.07.046.
2
Endoscopic retrieval of a gastric trichobezoar.内镜下取出胃内毛发石。
World J Gastrointest Endosc. 2011 Jan 16;3(1):20-2. doi: 10.4253/wjge.v3.i1.20.
3
Laparoscopic intragastric removal of giant trichobezoar.腹腔镜下胃内巨大毛石的取出术
Afr J Paediatr Surg. 2024 Apr 1;21(2):101-106. doi: 10.4103/ajps.ajps_104_22. Epub 2023 Feb 14.
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Gastrointestinal trichobezoars in the pediatric population: a retrospective study.儿童人群中的胃肠道毛粪石:一项回顾性研究。
BMC Pediatr. 2024 Feb 16;24(1):124. doi: 10.1186/s12887-023-04489-x.
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Rapunzel syndrome complicated with pancreatitis, intussusception and intestinal perforation.雷朋泽尔综合征合并胰腺炎、肠套叠和肠穿孔。
BMJ Case Rep. 2022 Jul 4;15(7):e247005. doi: 10.1136/bcr-2021-247005.
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A huge abdominal mass revealing a depressive syndrome.腹部巨大肿块致抑郁综合征。
Ann R Coll Surg Engl. 2021 Mar;103(3):e77-e80. doi: 10.1308/rcsann.2020.7093.
7
Trichobezoar as a cause of pediatric acute small bowel obstruction.毛发石作为小儿急性小肠梗阻的一个病因
Clin Case Rep. 2019 Dec 18;8(1):166-170. doi: 10.1002/ccr3.2576. eCollection 2020 Jan.
8
Rapunzel syndrome: a tail too long to tell!长发公主综合征:一条长得离谱的尾巴!
BMJ Case Rep. 2018 Apr 5;2018:bcr-2018-224756. doi: 10.1136/bcr-2018-224756.
JSLS. 2010 Apr-Jun;14(2):259-62. doi: 10.4293/108680810X12785289144520.
4
Management of trichobezoar: case report and literature review.毛发石的管理:病例报告与文献综述
Pediatr Surg Int. 2010 May;26(5):457-63. doi: 10.1007/s00383-010-2570-0. Epub 2010 Mar 6.
5
Laparoscopic removal of a large gastric trichobezoar in a 4-year-old girl.4岁女童腹腔镜下取出巨大胃毛石
JSLS. 2009 Oct-Dec;13(4):608-11. doi: 10.4293/108680809X12589999538110.
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Laparoscopic removal of a gastric trichobezoar in a pediatric patient.小儿患者胃内毛石的腹腔镜切除术
J Laparoendosc Adv Surg Tech A. 2009 Dec;19(6):835-7. doi: 10.1089/lap.2008.0367.
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Compr Psychiatry. 2008 Nov-Dec;49(6):579-84. doi: 10.1016/j.comppsych.2008.05.002. Epub 2008 Aug 23.
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