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当肠道讲述一个故事:一名被忽视的自闭症儿童体内的胃石

When the Gut Tells a Story: Bezoars in a Neglected Autistic Child.

作者信息

Ba-Shammakh Saleh A, Al-Zughali Eman A, Al-Bustanji Salwa M

机构信息

Department of General Surgery, The Islamic Hospital, Amman, JOR.

Department of Internal Medicine, The Islamic Hospital, Amman, JOR.

出版信息

Cureus. 2023 Sep 6;15(9):e44775. doi: 10.7759/cureus.44775. eCollection 2023 Sep.

Abstract

This case study delves into the unique presentation of bezoars in a 14-year-old autistic female who exhibited chronic diarrhea and abdominal pain. While trichobezoars, masses formed from ingested hair, are rare, they are predominantly seen in young females and are associated with psychiatric conditions. Through rigorous diagnostic procedures, including a computed tomography imaging of the abdomen and pelvis (CTAP) scan, fecal impaction, and multiple bezoars, including hair and non-biological items, were identified. The background revealed significant neglect, emphasizing the importance of a comprehensive approach that integrates medical, surgical, and psychosocial care.

摘要

本案例研究深入探讨了一名14岁自闭症女性患者胃石的独特表现,该患者出现慢性腹泻和腹痛。毛粪石是由摄入的毛发形成的团块,较为罕见,主要见于年轻女性,且与精神疾病有关。通过严格的诊断程序,包括腹部和骨盆的计算机断层扫描(CTAP)、粪便嵌塞,发现了多个胃石,包括毛发和非生物物品。背景显示存在严重的疏忽,强调了综合医疗、手术和心理社会护理方法的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71dc/10557536/7114eba7344e/cureus-0015-00000044775-i01.jpg

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