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成功通过腹腔镜取出因长发公主综合征导致的毛粪石:科威特首例报告病例。

Successful laparoscopic extraction of trichobezoar due to Rapunzel syndrome: first reported case in Kuwait.

作者信息

Al-Mulla Ahmad E, Altabeekh Ali, Al-Jafar Ahmad, Dashti Shaimaa

机构信息

Department of Surgery Farwaniya Hospital, Ministry of Health, Farwaniya, Kuwait.

出版信息

J Surg Case Rep. 2021 Dec 7;2021(12):rjab532. doi: 10.1093/jscr/rjab532. eCollection 2021 Dec.

Abstract

Rapunzel syndrome is a rare condition typically found in young female patients with mental or psychiatric disorders. It manifests as a large trichobezoar extending beyond the pylorus into the small intestine and leads to various adverse conditions. Early diagnosis and prompt management are crucial to avoiding complications. These bezoars are extracted endoscopically, laparoscopically and via open surgery (most common). In this current report, we discuss a successful laparoscopic extraction of a trichobezoar in a 12-year-old girl with acute abdominal pain due to small-bowel obstruction. We describe our technique compared with others' techniques and include a literature review on this topic.

摘要

长发公主综合征是一种罕见病症,通常见于患有精神或心理障碍的年轻女性患者。它表现为一个巨大的毛粪石,延伸至幽门以外进入小肠,并导致各种不良状况。早期诊断和及时处理对于避免并发症至关重要。这些粪石可通过内镜、腹腔镜及开放手术(最常用)取出。在本报告中,我们讨论了一例成功通过腹腔镜为一名因小肠梗阻导致急性腹痛的12岁女孩取出毛粪石的病例。我们将我们的技术与其他技术进行了比较,并纳入了关于该主题的文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cc/8652028/478de0a1d31d/rjab532f1.jpg

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