乳糜泻患儿腹部肿块的病因：长发公主综合征。一例报告。
The cause of abdominal mass in a child with celiac disease: Rapunzel syndrome. A case report.
作者信息
Appak Yeliz Çağan, Ertan Duygu, Karakoyun Miray, Özyurt Gonca, Özdemir Tunç, Baran Maşallah
机构信息
MD. Attending Physician, Department of Pediatric Gastroenterology, Tepecik Training and Research Hospital, Izmir, Turkey.
MD. Pediatric Assistant, Department of Pediatrics, Tepecik Training and Research Hospital, İzmir, Turkey.
出版信息
Sao Paulo Med J. 2019 May-Jun;137(3):292-294. doi: 10.1590/1516-3180.2017.0281141017. Epub 2018 Mar 22.
CONTEXT
Rapunzel syndrome is a rare form of gastric trichobezoar that develops through outstretching of the bezoar from the stomach to the intestine.
CASE REPORT
A 12-year-old girl who had been diagnosed with celiac disease six years earlier was brought to the department of pediatric gastroenterology because of abdominal distension. A palpable mass was detected. A trichobezoar that stretched to the small intestine was removed surgically. The patient was diagnosed as having anxiety and depressive disorder, and treatment started. Following the treatment, her previous trichophagia completely disappeared.
CONCLUSION
Presence of trichobezoar should be kept in mind, especially when young girls who have psychiatric problems suffer from gastrointestinal symptoms.
背景
长发公主综合征是胃毛石症的一种罕见形式，其通过毛石从胃向肠道的伸展而形成。
病例报告
一名12岁女孩，6年前被诊断为乳糜泻，因腹胀被带到儿科胃肠病科。发现一个可触及的肿块。手术切除了一个延伸至小肠的毛石。该患者被诊断患有焦虑和抑郁障碍，并开始接受治疗。治疗后，她以前的食毛癖完全消失。
结论
应牢记毛石的存在，尤其是当有精神问题的年轻女孩出现胃肠道症状时。
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