Kumar Navin, Huda Farhanul, Gupta Rohit, Payal Y S, Kumar Utkarsh, Mallik Dhiraj
1 Assistant Professor, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India.
2 Associate Professor, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India.
Trop Doct. 2019 Apr;49(2):133-135. doi: 10.1177/0049475519826477. Epub 2019 Feb 5.
Bezoars are indigestible foreign material in the gastrointestinal tract (GIT). A phytobezoar is a mass of plant material, while a trichobezoar consists of matted hair. This is found most commonly in the stomach in children who chew their long hair. When a gastric trichobezoar extends to the duodenum or jejunum, this is known as Rapunzel syndrome (RS), after a famous Brothers' Grimm fairy tale. Our patient presented with haematemesis, localised peritonitis, a palpable epigastric mass, coagulopathy, severe anaemia and deranged liver function tests. An abdominal computed tomography scan was suggestive of a bezoar; gastroduodenoscopy confirmed the diagnosis. Treatment of trichobezoars normally involve endoscopic removal or gastrotomy and psychiatric intervention. They may also cause haematemesis, gastric outlet obstruction, gastric ulceration and perforation, multiple jejuno-jejunal intussusception, acute pancreatitis and cholestatic jaundice. Trichobezoar was first reported in the 18th century by Baudamant in a 16-year-old boy. RS was first described in 1968.
胃石是胃肠道（GIT）内无法消化的异物。植物性胃石是一团植物物质，而毛发胃石则由缠结的毛发组成。这在咀嚼长发的儿童的胃中最为常见。当胃内毛发胃石延伸至十二指肠或空肠时，就被称为长发公主综合征（RS），得名于著名的格林兄弟童话。我们的患者出现了呕血、局限性腹膜炎、可触及的上腹部肿块、凝血功能障碍、严重贫血以及肝功能检查异常。腹部计算机断层扫描提示有胃石；胃十二指肠镜检查确诊了该诊断。毛发胃石的治疗通常包括内镜下取出或胃切开术以及精神科干预。它们还可能导致呕血、胃出口梗阻、胃溃疡和穿孔、多发空肠-空肠套叠、急性胰腺炎和胆汁淤积性黄疸。毛发胃石于18世纪由鲍达曼首次报道，对象是一名16岁男孩。RS于1968年首次被描述。
