A Case of Intestinal Obstruction with Trichobezoar.
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概要
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Trichobezoar is a concentration of hair found in the stomach and intestine, Our case involved a trichobe-zoar causing ileus in a 15-year-old girl whose reported epigastralgia and vomiting in April 1997. Physical ex-amination revealed a large, firm, nontender, mobile mass in the upper abdomen. Gastrointestinal endoscopy revealed a giant trichobezoar in the stomach too large to be extracted by endoscopy. Surgery was thought necessary to extirpate it, but the patient elected to delay surgery until after high school entrance examina-tions. In April 1998, she again reported epigastralgia and vomiting, Physical examination revealed the dis-tended abdomen and the same mass in the upper abdomen. Abdominal radiography demonstrated intestinal dilatation and a prominent gastric outline. Though an ileustube was inserted, symptoms did not improved, ne-cessitating surgery. Laparotomy revealed two intraluminal masses. A large trichobezoar was found in the stomach and another in the ileum about 120cm from the ileocecal junction. One weighted 530g and the other 70g. The trichobezoar in the ileum apparently caused ileus. The postoperative course was uneventful. Psychi-atric consultation prior to discharge revealed a background of trichotillomania. To prevent recurrence, the girl and her parents underwent psychological reorientation after surgery, with no recurrence of trichophagia.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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