Extremely unusual case of gastrointestinal trichobezoar  

作　　者：Sopan N Jatal Nawab P Jamadar Bhagwat Jadhav Saleha Siddiqui Sachin B Ingle 

机构地区：[1]Jatal Hospital and Research Centre Latur, Maharashtra 4132512, India [2]Department of Anesthesia,MIMSR Medical College, Latur, Maharashtra 4132512, India [3]Department of Pathology, MIMSR Medical College, Latur, Maharashtra 4132512, India [4]Department of Pathology and Secretary Research and Development, MIMSR Medical College, Latur, Maharashtra 4132512, India

出　　处：《World Journal of Clinical Cases》2015年第5期466-469,共4页世界临床病例杂志

摘　　要：Trichobezoars(hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel(Rapunzel syndrome). Rapunzel syndrome remains uncommon; with fewer than 40 cases reported. To the best of our knowledge, this case may be the first well-documented case with a length of 75 cm. They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. Herein, we are reporting an interesting case of an 18-year mentally retarded girl with history of trichotillomania and trichophagia who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparoscopy.Trichobezoars(hair ball) are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel(Rapunzel syndrome). Rapunzel syndrome remains uncommon; with fewer than 40 cases reported. To the best of our knowledge, this case may be the first well-documented case with a length of 75 cm. They are almost always associated with trichotillomania and trichophagia or other psychiatric disorders. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. Herein, we are reporting an interesting case of an 18-year mentally retarded girl with history of trichotillomania and trichophagia who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparoscopy.

关 键 词：Giant TRICHOBEZOAR Therapy ENDOSCOPY TRICHOTILLOMANIA Rapunzel syndrome LAPAROSCOPY 

分 类 号：R656[医药卫生—外科学]