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雷普莎综合征:一个难以咽下的故事。

The Rapunzel syndrome: a hard-to-swallow tale.

机构信息

Department of Digestive Surgery, Hôpital Nord, Chemin des Bourrely, 13915, Marseille cedex 20, France.

出版信息

J Gastrointest Surg. 2011 Aug;15(8):1486-7. doi: 10.1007/s11605-011-1494-x. Epub 2011 Apr 12.

Abstract

INTRODUCTION

Rapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical.

CASE REPORT

A 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail. Conservative treatments failed to remove the bezoar. We performed a short laparotomy which allowed the removal of the bezoar through a longitudinal gastrotomy. Postoperative course was uneventful.

摘要

简介

雷普莎综合征是一种罕见的疾病,其特征为由于拔毛癖导致的巨大胃十二指肠毛粪石。其治疗通常需要手术。

病例报告

一名 27 岁患者因上消化道梗阻接受检查。计算机断层扫描和内镜检查显示胃内有一个大的毛粪石,并有十二指肠空肠尾部。保守治疗未能清除粪石。我们进行了一次短的剖腹手术,通过纵向胃切开术将粪石取出。术后过程顺利。

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