Baheti Akshay D, Otjen Jeffrey P, Phillips Grace S
Department of Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
Radiol Case Rep. 2016 Dec 3;12(1):42-44. doi: 10.1016/j.radcr.2016.07.003. eCollection 2017 Mar.
Trichobezoars are an uncommon cause of acute abdominal pain. We present a case of a 12-year-old girl with a history of a trichobezoar who presented to the emergency department with acute abdominal pain. Abdominal sonography was performed which suggested portal venous gas and showed complex peritoneal fluid. Subsequent computed tomography demonstrated both gastric and small bowel bezoars, with a jejunojejunal intussusception, and confirmed portal venous gas and complex ascites. At the time of surgery, there was evidence of intestinal and biliary perforation. Our case illustrates a constellation of complications in association with a long-standing trichobezoar.
毛发石是急性腹痛的一种罕见病因。我们报告一例12岁女孩，有毛发石病史，因急性腹痛就诊于急诊科。进行了腹部超声检查，提示门静脉积气并显示有复杂的腹腔积液。随后的计算机断层扫描显示胃和小肠内均有毛粪石，伴有空肠-空肠套叠，并证实存在门静脉积气和复杂性腹水。手术时，有肠道和胆管穿孔的证据。我们的病例说明了与长期存在的毛发石相关的一系列并发症。
