Tsuchiya Toui, Nii Kohichiroh, Yamamoto Mayumi, Tanaka Aya, Kusaka Takashi
Department of Pediatrics, Shodoshima Central Hospital, Kagawa, JPN.
Pediatric Surgery, Kagawa University, Kagawa, JPN.
Cureus. 2024 Aug 13;16(8):e66758. doi: 10.7759/cureus.66758. eCollection 2024 Aug.
Trichobezoar refers to the collection of ingested hair accumulating in the gastric mucosa folds, which are found in patients with trichotillomania and trichophagia. We present a case of a nine-year-old girl in Japan who was found to have hypercholesterolemia in the universal lipid screening as a part of the annual health checkups for the prevention of lifestyle-related diseases. Further examination revealed a palpable mass without any digestive symptoms. Imaging studies and the patient's history of pica indicated trichobezoar and upper gastrointestinal endoscopy revealed a large hairball occupying the entire lumen of the stomach. Thereafter, the large trichobezoar was removed by laparotomy and psychological support was provided to her to prevent its recurrence. Hypercholesterolemia improved after the removal of trichobezoar, which suggests an association between a large trichobezoar and cholesterol metabolism. Hypercholesterolemia may serve as a clue to the identification of trichobezoar.
毛石是指摄入的毛发聚集在胃黏膜皱襞中，见于拔毛癖和食毛癖患者。我们报告一例日本9岁女孩的病例，在作为预防生活方式相关疾病年度健康检查一部分的通用血脂筛查中发现她患有高胆固醇血症。进一步检查发现一个可触及的肿块，且无任何消化症状。影像学检查和该患者的异食癖病史提示为毛石，上消化道内镜检查发现一个巨大毛球占据了整个胃腔。此后，通过剖腹手术取出了巨大毛石，并为她提供了心理支持以防止复发。取出毛石后高胆固醇血症有所改善，这表明巨大毛石与胆固醇代谢之间存在关联。高胆固醇血症可能是识别毛石的一个线索。
