Lyons Robert, Ismaili Granit, Devine Michael, Malik Haroon
Department of General Surgery, St. Vincent's University Hospital, Dublin, Ireland
Department of General Surgery, St. Luke's Hospital, Kilkenny, Ireland.
BMJ Case Rep. 2020 Jan 21;13(1):e232904. doi: 10.1136/bcr-2019-232904.
A 16-year-old girl with a background of childhood trichophagia presented with a 2-day history of epigastric pain and associated anorexia with vomiting. An epigastric mass was palpable on examination. A CT scan revealed an intragastric trichobezoar, extending into the duodenum consistent with Rapunzel syndrome with evidence of partial gastric outlet obstruction and a possible perforation. The patient underwent an urgent laparotomy and extraction of the trichobezoar. The bezoar was removed without complication and no intraoperative evidence of perforation was detected. After an uncomplicated postoperative recovery, she was discharged home with psychiatric follow-up.
一名有儿童期吞食毛发病史的16岁女孩,出现上腹部疼痛2天,并伴有厌食及呕吐。体格检查可触及上腹部肿块。CT扫描显示胃内毛发石,延伸至十二指肠,符合长发公主综合征,有部分胃出口梗阻及可能穿孔的证据。患者接受了紧急剖腹手术并取出毛发石。毛发石顺利取出,术中未发现穿孔迹象。术后恢复顺利,她在接受精神科随访后出院回家。