毛石腸梗阻症候群：修订间差异
翻譯外文連結 |
（没有差异）
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2019年6月9日 (日) 09:28的版本
| 毛石腸梗阻症候群 Rapunzel syndrome | |
|---|---|
| 又称 | 長髮公主症候群 |
| 分类和外部资源 | |
| 醫學專科 | 精神病学、胃肠学 |
毛石腸梗阻症候群（Rapunzel syndrome）也稱為長髮公主症症候群，是罕見的人類消化道疾病，是因為吃毛髮所造成（食毛癖）[1]。其英文名稱得名自格林童話中的長髮姑娘Rapunzel。毛石腸梗阻症候群有時也和拔毛癖有關[2]。毛石腸梗阻症候群是毛球症中較罕見的一種[3]。
Signs and symptoms
The use of the Rapunzel syndrome first appeared in the literature in 1968.[4]
Characteristics of the syndrome include:
- The body of a 毛球症 (hairball) located in the stomach, and its tail (hence the reference to Rapunzel in the syndrome's name) in the small bowel and/or in the right 大肠
- Small or large bowel obstruction
- Occurring in psychiatric patients
- Trichotillomania
Rapunzel Syndrome is caused by indigestion of hair.
Diagnosis
Trichobezoar can be preoperatively diagnosed. However, the diagnosis of the Rapunzel syndrome has to consider several aspects such as the patient's history with disorders like Trichophagia and Trichotillomania.[5][6]
The diagnosis of the syndrome is also done by endoscopy. A CT scan is recommended to determine the size and the extension of the trichobezoar.[4]
Treatment
Because the 消化道 is unable to digest human hair, the trichobezoar may have to be treated surgically. Patients usually also require psychiatric evaluation and treatment due to the association with Lua错误：bad argument #1 to 'gsub' (string expected, got nil)。, especially trichotillomania.[7]
參考資料
- ^ Ventura DE, Herbella FA, Schettini ST, Delmonte C. Rapunzel syndrome with a fatal outcome in a neglected child. J. Pediatr. Surg. 2005, 40 (10): 1665–7. PMID 16227005. doi:10.1016/j.jpedsurg.2005.06.038.
- ^ Chamberlain SR, Menzies L, Sahakian BJ, Fineberg NA. Lifting the veil on trichotillomania. Am J Psychiatry. April 2007, 164 (4): 568–74. PMID 17403968. doi:10.1176/appi.ajp.164.4.568.
- ^ Gonuguntla, Veena; Joshi, Divya-Devi. Rapunzel Syndrome: A Comprehensive Review of an Unusual Case of Trichobezoar. Clinical Medicine & Research. 2009, 7 (3): 99–102. ISSN 1539-4182. PMC 2757434
. PMID 19625498. doi:10.3121/cmr.2009.822.
- ^ 4.0 4.1 Maloney, William James. The Medical Lives of History's Famous People. Bentham Science Publishers. 2014-09-22. ISBN 9781608059362 （英语）.
- ^ Wang, Zhe; Cao, Feng; Liu, Diangang; Fang, Yu; Li, Fei. The diagnosis and treatment of Rapunzel syndrome. Acta Radiologica Open. 2016-11-22, 5 (11): 205846011562766. ISSN 2058-4601. PMC 5122172 . PMID 27900201. doi:10.1177/2058460115627660.
- ^ Wang, Zhe; Cao, Feng; Liu, Diangang; Fang, Yu; Li, Fei. The diagnosis and treatment of Rapunzel syndrome. Acta Radiologica Open. 2016-11-22, 5 (11): 205846011562766. PMC 5122172 . PMID 27900201. doi:10.1177/2058460115627660.
- ^ Gorter RR, Kneepkens CM, Mattens EC, Aronson DC, Heij HA. Management of trichobezoar: case report and literature review. Pediatr. Surg. Int. May 2010, 26 (5): 457–63. PMC 2856853 . PMID 20213124. doi:10.1007/s00383-010-2570-0.
延伸閱讀
- Duncan ND, Aitken R, Venugopal S, West W, Carpenter R. The Rapunzel syndrome. Report of a case and review of the literature. West Indian Med J. June 1994, 43 (2): 63–5. PMID 7941500.
- Levy RM, Komanduri S. Images in clinical medicine. Trichobezoar. N. Engl. J. Med. November 2007, 357 (21): e23. PMID 18032760. doi:10.1056/NEJMicm067796. 简明摘要 – CNN (2007-11-22).
- Matejů E, Duchanová S, Kovac P, Moravanský N, Spitz DJ. Fatal case of Rapunzel syndrome in neglected child. Forensic Sci. Int. September 2009, 190 (1–3): e5–7. PMID 19505779. doi:10.1016/j.forsciint.2009.05.008.
- Pul N, Pul M. The Rapunzel syndrome (trichobezoar) causing gastric perforation in a child: a case report. Eur. J. Pediatr. 1996, 155 (1): 18–9. PMID 8750804. doi:10.1007/bf02115620.
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