Delsmann B M, Nikolaidis N, Schomacher P H
Chirurgische Abteilung, St.-Elisabeth-Hospitals Beckum.
Dtsch Med Wochenschr. 1993 Sep 24;118(38):1361-4. doi: 10.1055/s-2008-1059462.
For several weeks a 15-year-old girl had complained of increasing abdominal pain with vomiting. On admission to hospital the bloated abdomen was diffusely sensitive to pressure and the bowel sounds were high pitched and loud. Erythrocyte sedimentation rate was increased to 23/40 mm and the white cell count to 12,000/microliters. Ultrasound examination revealed an echo-dense area with dorsal echo loss at the gastric side of the pylorus. X-ray films of the stomach showed fluid levels and a soft-tissue mass in the left upper abdomen. At laparotomy a large (12 x 6 cm) trichobezoar was found in the middle of the small intestine and two smaller ones at the pylorus. Subsequently the patient admitted to trichophagia but refused any psychological treatment.
几周来，一名15岁女孩一直诉说腹痛加剧并伴有呕吐。入院时，腹胀的腹部对按压普遍敏感，肠鸣音高亢且响亮。红细胞沉降率增至23/40毫米，白细胞计数增至12,000/微升。超声检查显示幽门胃侧有一个回声密集区，后方回声缺失。胃的X光片显示有液平面，左上腹有一个软组织肿块。剖腹手术时，在小肠中部发现一个大的（12×6厘米）毛粪石，在幽门处发现两个较小的毛粪石。随后，患者承认有吞食毛发的行为，但拒绝接受任何心理治疗。
