Redden Mark, Ghadiri Marjan
General Surgery, Redcliffe Hospital, Redcliffe, Australia.
J Surg Case Rep. 2022 Mar 29;2022(3):rjac133. doi: 10.1093/jscr/rjac133. eCollection 2022 Mar.
A trichobezoar is an accumulation of ingested hair that forms a mass within the gastro-intestinal tract. Thrichobezoars usually consist of human hair and are known to cause obstruction and even perforation of gastrointestinal organs. There have been approximately seven reported cases of acute appendicitis with association trichobezoars found at the time of appendicectomy. We report a unique case of acute appendicitis with an associated trichobezoar of feline hair. A 15-year-old male presented with a 24-hour history of abdominal pain. A computed tomography scan demonstrated features of appendicitis with several hyperdensities within the base of the appendix. At the time of appendicectomy, the appendix was found to be perforated at the base. Faecoliths were identified containing numerous short, light-coloured hairs. Following the procedure, the family confirmed that they have a pet cat with short, light-coloured hair. The patient had an uneventful recovery.
毛粪石是摄入的毛发在胃肠道内积聚形成的团块。毛粪石通常由人发组成，已知会导致胃肠道器官梗阻甚至穿孔。据报道，在阑尾切除术中发现约有7例急性阑尾炎合并毛粪石的病例。我们报告一例独特的急性阑尾炎合并猫毛毛粪石的病例。一名15岁男性，有24小时腹痛病史。计算机断层扫描显示阑尾炎特征，阑尾根部有几个高密度影。在阑尾切除术中，发现阑尾根部穿孔。粪石中含有大量浅色短发。手术后，家属证实他们养了一只浅色短毛宠物猫。患者恢复顺利。
