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Trichobezoar presenting as an acute abdominal obstruction in a 17-year-old girl
Paediatrics and International Child Health ( IF 1.8 ) Pub Date : 2022-03-06 , DOI: 10.1080/20469047.2022.2045691
Zuhal Bayramoglu 1 , Rana Gunoz Comert 2 , Basak Erginel 3 , Abdulkadir Baziki 3
Affiliation  

ABSTRACT

Trichobezoars are hairballs that combine with food residue in the digestive tract as a result of ingesting hair. A 17-year-old girl was admitted to the emergency department with abdominal pain and vomiting for 3 days. She had been having digestive difficulty and bloating for the previous 2 months. An abdominal radiograph demonstrated air-fluid levels consistent with ileus, and an ultrasound showed hyperechoic material in the stomach and ileum. Computed tomography demonstrated images of trapped air which was considered diagnostic of a bezoar. At laparotomy, a large mass was removed from the stomach. As the bezoar extended through the pylorus and duodenum and there were mobile masses palpable in the ileum, it required a second incision to remove them. For some years she had had a habit of swallowing hair which she found on her pillow and there was a history of an obsessive personality trait and hyperactivity for which she agreed to attend a psychiatric clinic.

Abbreviations: BMI: body mass index; CT: computed tomography; Hb: haemoglobin; IV: intravenous; WHO: World Health Organization



中文翻译:

一名 17 岁女孩出现急性腹部梗阻的毛石黄

摘要

Trichobezoars是毛球,由于摄入头发而与消化道中的食物残渣结合。一名 17 岁女孩因腹痛和呕吐 3 天被送入急诊科。在过去的两个月里,她一直有消化困难和腹胀。腹部 X 线片显示气液水平与肠梗阻一致,超声显示胃和回肠中有高回声物质。计算机断层扫描显示了被认为是牛黄诊断的滞留空气的图像。在剖腹手术中,从胃中取出一大块肿块。由于牛黄穿过幽门和十二指肠,回肠内可触及移动肿块,需要第二次切口将其取出。

缩写: BMI:体重指数;CT:计算机断层扫描;Hb:血红蛋白;IV:静脉注射;世界卫生组织:世界卫生组织

更新日期:2022-03-06
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