Schuler Luca, Hodel Martina, Stieger Claudia
Department of Emergency Medicine, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Psychiatric Clinic of Lucerne, Lucerne, Switzerland.
Surg Case Rep. 2023 Mar 28;9(1):49. doi: 10.1186/s40792-023-01631-w.
Trichobezoars are a rare medical condition, often requiring a surgical approach and commonly associated with an underlying psychiatric disorder. The Rapunzel syndrome is a rare variant of trichobezoar in the stomach extending from the stomach into the small intestine causing a bowel obstruction.
In this case report, the clinical presentation, diagnostic approach, and surgical removal of a large-size bezoar (Rapunzel syndrome) in a young and otherwise healthy female is described. Different surgical strategies are discussed. Psychiatric exploration gives an insight on development of trichophagia ultimately leading to the forming of the trichobezoar.
This brief report sheds light on the importance of the collective mind of a multidisciplinary team preventing a potentially fatal outcome.
毛发石是一种罕见的医学病症，通常需要手术治疗，且常与潜在的精神障碍相关。长发公主综合征是毛发石的一种罕见变体，胃部的毛发石从胃延伸至小肠，导致肠梗阻。
在本病例报告中，描述了一名年轻且健康的女性体内巨大毛发石（长发公主综合征）的临床表现、诊断方法及手术切除过程。讨论了不同的手术策略。精神科检查揭示了吞食毛发行为的发展过程，最终导致毛发石的形成。
本简短报告阐明了多学科团队的集体智慧对于预防潜在致命后果的重要性。
