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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.

DOI:10.1155/cris/3934625
PMID:39687747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649349/
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/40c8/11649349/07f226e43c6e/CRIS2024-3934625.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/ea909248d9e6/CRIS2024-3934625.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/bda81838c76b/CRIS2024-3934625.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/07f226e43c6e/CRIS2024-3934625.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/ea909248d9e6/CRIS2024-3934625.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/bda81838c76b/CRIS2024-3934625.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c8/11649349/07f226e43c6e/CRIS2024-3934625.003.jpg

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本文引用的文献

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Gastrointestinal Bezoars in Paediatrics: Case Series and Literature Review.儿科胃石症:病例系列及文献复习。
Afr J Paediatr Surg. 2024 Apr 1;21(2):101-106. doi: 10.4103/ajps.ajps_104_22. Epub 2023 Feb 14.
2
A Rare Case of Phytobezoar Related to Occupational Exposure.一例与职业暴露相关的植物性胃石罕见病例。
Cureus. 2024 Feb 24;16(2):e54826. doi: 10.7759/cureus.54826. eCollection 2024 Feb.
3
Gastrointestinal trichobezoars in the pediatric population: a retrospective study.儿童人群中的胃肠道毛粪石:一项回顾性研究。
BMC Pediatr. 2024 Feb 16;24(1):124. doi: 10.1186/s12887-023-04489-x.
4
Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications.胃石:可导致胃肠道梗阻的病因,可能需要手术干预并可能引发手术并发症。
Clin Case Rep. 2023 Dec 5;11(12):e8126. doi: 10.1002/ccr3.8126. eCollection 2023 Dec.
5
Two cases of Rapunzel syndrome in adult males.两例成年男性的长发公主综合征病例。
J Surg Case Rep. 2023 Oct 17;2023(10):rjad571. doi: 10.1093/jscr/rjad571. eCollection 2023 Oct.
6
Trichobezoar effectively treated with direct endoscopic injection of Coca-Cola: A case report.经内镜直接注射可口可乐有效治疗毛粪石:一例报告
DEN Open. 2023 Sep 25;4(1):e283. doi: 10.1002/deo2.283. eCollection 2024 Apr.
7
Mallory-Weiss syndrome from giant gastric trichobezoar: A case report.巨大胃毛石导致的马洛里-魏斯综合征:一例报告
World J Gastrointest Surg. 2023 May 27;15(5):972-977. doi: 10.4240/wjgs.v15.i5.972.
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Trichobezoar: A Rare Cause of Protein-losing Enteropathy.毛发石:蛋白丢失性肠病的罕见病因。
JPGN Rep. 2023 Apr 18;4(2):e310. doi: 10.1097/PG9.0000000000000310. eCollection 2023 May.
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Gastric Trichobezoar Causing Gastrointestinal Bleeding: A Case Report.胃毛石致消化道出血:一例报告
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