Trichobezoar presenting as an acute abdominal obstruction in a 17-year-old girl

IF 1.4 4区医学 Q3 PEDIATRICS

Paediatrics and International Child Health Pub Date : 2022-03-06 DOI:10.1080/20469047.2022.2045691

Z. Bayramoğlu, R. Comert, B. Erginel, Abdulkadir Baziki

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引用次数: 0

Abstract

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

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毛牛黄表现为一名17岁女孩的急性腹部梗阻

摘要毛霉菌是一种毛球，由于摄入毛发而在消化道中与食物残渣结合。一名17岁女孩因腹痛和呕吐入院3天。在过去的两个月里，她一直有消化困难和腹胀。腹部X光片显示空气液体水平与回肠一致，超声波显示胃和回肠中有高回声物质。计算机断层扫描显示了被困空气的图像，这被认为是牛黄的诊断。在剖腹手术中，从胃中取出了一个大肿块。由于牛黄延伸穿过幽门和十二指肠，回肠中有可触及的活动肿块，因此需要第二次切开将其切除。几年来，她一直有吞咽枕头上发现的头发的习惯，而且有强迫症和多动症的病史，为此她同意去精神科诊所。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

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics and International Child Health PEDIATRICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Paediatrics and International Child Health is an international forum for all aspects of paediatrics and child health in developing and low-income countries. The international, peer-reviewed papers cover a wide range of diseases in childhood and examine the social and cultural settings in which they occur. Although the main aim is to enable authors in developing and low-income countries to publish internationally, it also accepts relevant papers from industrialised countries. The journal is a key publication for all with an interest in paediatric health in low-resource settings.