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巨大胃毛石:揭开一名14岁少年腹痛的复杂性

Giant Gastric Trichobezoar: Unveiling the Complexity of a 14-Year-Old's Abdominal Pain.

作者信息

Iqbal Aiza, Faraz Fatima, Bano Bazigha, Atta Alishba, Azeem Ayesha, Shahzad Faizan, Jabeen Nimrah, Shami Besher

机构信息

Department of Medicine, Holy Family Hospital, Rawalpindi, Pakistan.

Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.

出版信息

Case Rep Surg. 2024 Dec 9;2024:3934625. doi: 10.1155/cris/3934625. eCollection 2024.

Abstract

Trichobezoars are accumulations of undigested hair. Usually, this disorder follows a psychiatric etiology; however, sometimes a nonpsychiatric etiology, such as pica, can also be suspected. Rapunzel syndrome is a rare type of trichobezoar in which the hair is usually confined to the stomach and small intestine. The authors present a rare case of trichobezoar in a young female without any psychiatric symptoms. Trichobezoar results in nonspecific GI symptoms and this causes delays in its diagnosis. It should always be considered a differential in a young female with nonspecific GI symptoms, especially in those with evidence of iron deficiency anemia.

摘要

毛粪石是未消化毛发的聚积物。通常,这种病症源于精神病因;然而,有时也可怀疑存在非精神病因,例如异食癖。长发公主综合征是一种罕见的毛粪石类型,其中毛发通常局限于胃和小肠。作者报告了一例年轻女性的罕见毛粪石病例,该女性无任何精神症状。毛粪石会导致非特异性胃肠道症状,这会导致其诊断延迟。对于有非特异性胃肠道症状的年轻女性,尤其是那些有缺铁性贫血证据的女性,应始终将其视为鉴别诊断的对象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/ea909248d9e6/CRIS2024-3934625.001.jpg

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