Habib Murad, Amjad Muhammad Bin, Abbas Muhammad, Chaudhary Muhammad Amjad
Department of Neonatal Paediatric Surgery, The Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad, 44000, Pakistan.
Islamabad Medical and Dental College, Islamabad, 44000, Pakistan.
Ann Med Surg (Lond). 2022 Nov 13;84:104906. doi: 10.1016/j.amsu.2022.104906. eCollection 2022 Dec.
Trichobezoar is a rare gastrointestinal pathology in paediatric population. Patients present with a range of symptoms from being asymptomatic to abdominal pain with a palpable abdominal mass. Once diagnosed it warrants urgent retrieval as delayed diagnosis may lead to serious complications.
We present a series of six cases between March 2021 and March 2022 who presented to Children's Hospital and were diagnosed as a case of Gastric Trichobezoars. Patients were optimized and prepared for surgery. All patients underwent Surgical exploration and a tuft of hair were removed. They were followed up throughout the course of treatment and three of the patients underwent psychiatric evaluation.
Trichobezoar is a rare but important surgical case that is a manifestation of underlying psychiatric ailment. Presentation varies from asymptomatic masses to life threatening complications with delayed presentations. A multi-disciplinary approach including Psychiatric, Paediatrician and Paediatric surgeon should be undertaken. Follow-up is the mainstay of treatment and recurrence may be seen due to non-compliance or inadequate management.
胃石是儿科人群中一种罕见的胃肠道疾病。患者表现出一系列症状，从无症状到腹痛并可触及腹部肿块。一旦确诊，需紧急取出，因为延迟诊断可能导致严重并发症。
我们报告了2021年3月至2022年3月期间在儿童医院就诊并被诊断为胃毛石症的6例病例。对患者进行了优化并为手术做准备。所有患者均接受了手术探查并取出了一束毛发。在整个治疗过程中对他们进行了随访，其中3例患者接受了精神科评估。
胃石是一种罕见但重要的外科病例，是潜在精神疾病的一种表现。表现从无症状肿块到延迟出现的危及生命的并发症不等。应采取包括精神科医生、儿科医生和小儿外科医生在内的多学科方法。随访是治疗的主要手段，由于不依从或管理不当可能会出现复发。
