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一名3岁男孩的长发公主综合征：一种过早出现的威胁。

Rapunzel Syndrome in a 3-Year-Old Boy: A Menace too Early to Present.

作者信息

Kumar Mritunjay, Maletha Madhukar, Bhuddi Sakshi, Kumari Rashmi

机构信息

Department of Pediatrics and Neonatology, Apollomedics Super Speciality Hospital, Lucknow, Uttar Pradesh, India.

Department of Pediatric Surgery, SGRR Institute of Medical Sciences, Dehradun, Uttarakhand, India.

出版信息

J Indian Assoc Pediatr Surg. 2020 Mar-Apr;25(2):112-114. doi: 10.4103/jiaps.JIAPS_1_19. Epub 2020 Jan 28.

DOI:10.4103/jiaps.JIAPS_1_19
PMID:32139992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7020672/
Abstract

Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague, ranging from asymptomatic abdominal mass to gastrointestinal perforation. There are only few cases reported in literature, with the youngest age being 3 years. We present the case of a 3-year-old male child presenting with Rapunzel syndrome and features of subacute intestinal obstruction.

摘要

长发公主综合征是一种罕见的毛粪石类型，毛发可延伸至小肠。临床表现具有欺骗性且模糊不清，从无症状的腹部肿块到胃肠道穿孔不等。文献中仅报道了少数病例，最小年龄为3岁。我们报告了一例3岁男童患长发公主综合征并伴有亚急性肠梗阻特征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1253/7020672/794d5dcbd624/JIAPS-25-112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1253/7020672/b1f8cb969356/JIAPS-25-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1253/7020672/794d5dcbd624/JIAPS-25-112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1253/7020672/b1f8cb969356/JIAPS-25-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1253/7020672/794d5dcbd624/JIAPS-25-112-g002.jpg

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2
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Rapunzel Syndrome: Clinical, Diagnostic and Forensic Aspects in Related Deaths-A Review of the Literature.长发公主综合征：相关死亡的临床、诊断及法医方面——文献综述
J Clin Med. 2024 Dec 8;13(23):7464. doi: 10.3390/jcm13237464.
3
Rapunzel syndrome in children: a retrospective review of ten cases combined with literature review in a tertiary referral center.

本文引用的文献

1
Rapunzel syndrome in a seven year old female.一名七岁女性的长发公主综合征。
Turk J Pediatr. 2017;59(5):598-600. doi: 10.24953/turkjped.2017.05.016.
2
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.
3
Gastric Trichobezoars in Children: Surgical Overview.儿童胃内毛石症：外科概述
儿童拉佩尔综合征：一家三级转诊中心回顾性分析十例病例并结合文献复习
Pediatr Surg Int. 2024 May 4;40(1):121. doi: 10.1007/s00383-024-05705-0.
4
Rapunzel Syndrome: A Concealed Tale of the Misleading Tail.长发公主综合征：关于误导性尾巴的隐秘故事。
J Indian Assoc Pediatr Surg. 2023 Jan-Feb;28(1):69-71. doi: 10.4103/jiaps.jiaps_86_22. Epub 2023 Jan 10.
5
Rapunzel Syndrome: Endoscopy, Laparotomy, or Laparoscopy?长发公主综合征：内镜检查、剖腹手术还是腹腔镜检查？
J Indian Assoc Pediatr Surg. 2021 Jan-Feb;26(1):66-67. doi: 10.4103/jiaps.JIAPS_176_20. Epub 2021 Jan 11.
6
Rapunzel syndrome with cholangitis and pancreatitis - A rare case report.伴有胆管炎和胰腺炎的长发公主综合征——一例罕见病例报告
Open Med (Wars). 2020 Nov 14;15(1):1137-1142. doi: 10.1515/med-2020-0243. eCollection 2020.
Int J Trichology. 2017 Apr-Jun;9(2):50-53. doi: 10.4103/ijt.ijt_38_17.
4
Trichobezoar presenting as a gastric outlet obstruction: A case report.以胃出口梗阻为表现的毛粪石：一例报告。
Int J Surg Case Rep. 2017;34:123-125. doi: 10.1016/j.ijscr.2017.03.011. Epub 2017 Mar 16.
5
A Hairy Tail not a Fairy Tale - Rapunzel Syndrome.一条毛茸茸的尾巴而非童话故事——长发公主综合征。
Indian J Surg. 2013 Jun;75(Suppl 1):80-1. doi: 10.1007/s12262-011-0369-4. Epub 2011 Nov 11.
6
An unusual case report of rapunzel syndrome trichobezoar in a 3-year-old boy.一名3岁男孩患长发公主综合征毛粪石的罕见病例报告。
Int J Trichology. 2011 Jul;3(2):102-4. doi: 10.4103/0974-7753.90820.
7
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.
8
'Rapunzel syndrome' trichobezoar in a 7-year-old girl: a case report.一名7岁女孩的“长发公主综合征”毛粪石：病例报告
Cases J. 2008 Oct 2;1(1):205. doi: 10.1186/1757-1626-1-205.
9
Rapunzel syndrome complicated with gastric perforation diagnosed on operation table.手术台上诊断为长发公主综合征合并胃穿孔。
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The Rapunzel syndrome. An unusual complication of intestinal bezoar.长发公主综合征。一种罕见的肠粪石并发症。
Surgery. 1968 Feb;63(2):339-43.