Khzam Salam, Obaidin Aya, Jlailati Alaa, Barakat Lyne, Alissa Ahmad, Khallouf Saleem
Faculty of medicine, Hama University, Hama, Syria.
Faculty of medicine, Hama University, Hama, Syria.
Int J Surg Case Rep. 2025 May;130:111271. doi: 10.1016/j.ijscr.2025.111271. Epub 2025 Apr 8.
Bezoars are characterized by the presence of different undigested materials mostly hair inside the digestive system due to a psychiatric disorder called Trichotillomania. Around 4 % of the population is affected by it [1]. Superior mesenteric artery is a medical condition that causes a compression on the duodenum between the superior mesenteric artery and the aorta with incidence rate of 2.67 % [2].
A 19-year-old female presented with a history of abdominal pain and a significant weight loss over the past year. The patient has a psychiatric history that began about 13 or 14 years ago, coinciding with the onset of the Syrian war leading her to engage in trichotillomania during episodes of fear and anxiety.
Bezoar symptoms usually appear when the size of the hair mass increases, leading to obstructions [7]. Its treatment depends on extracting the hair mass and giving psychiatric therapy to prevent recurrence [1]. Superior mesenteric artery syndrome is when the compression on the duodenum between the superior mesenteric artery and the aorta leads to the formation of an acute angle between the two vessels ranging from 6 to 25° [2,3]. The most important cause of this compression is weight loss [2,3]. Conservative treatment with good nutrition is preferred [2,3,8].
The psychological effects of wars should receive more care due to their significant effects on people's lives and health.
胃石症的特征是由于一种名为拔毛癖的精神疾病，消化系统内存在不同的未消化物质（主要是毛发）。约4%的人口受其影响[1]。肠系膜上动脉综合征是一种导致肠系膜上动脉与主动脉之间对十二指肠产生压迫的病症，发病率为2.67%[2]。
一名19岁女性，有腹痛病史，且在过去一年体重显著减轻。该患者有精神病史，始于约13或14年前，恰逢叙利亚战争爆发，导致她在恐惧和焦虑发作时出现拔毛癖。
当毛发团块增大导致梗阻时，胃石症症状通常会出现[7]。其治疗取决于取出毛发团块并给予心理治疗以防止复发[1]。肠系膜上动脉综合征是指肠系膜上动脉与主动脉之间对十二指肠的压迫导致这两根血管之间形成6至25°的锐角[2,3]。这种压迫的最重要原因是体重减轻[2,3]。首选营养良好的保守治疗[2,3,8]。
战争的心理影响因其对人们生活和健康的重大影响而应得到更多关注。
