소아에서의 Rapunzel 증후군 1예
Case of the Rapunzel Syndrome in a Child
김욱, 이도상, 박일영, 성기영, 송무형, 원종만,
소속 상세정보
김욱 ( Kim Wook )
가톨릭대학교 성가병원 외과학교실
이도상 ( Lee Do-Sang )
가톨릭대학교 성가병원 외과학교실
박일영 ( Park Il-Young )
가톨릭대학교 성가병원 외과학교실
성기영 ( Sung Gi-Young )
가톨릭대학교 성가병원 외과학교실
송무형 ( Song Moo-Hyung )
가톨릭대학교 성가병원 외과학교실
원종만 ( Won Jong-Man )
가톨릭대학교 성가병원 외과학교실
KMID : 0371320010600010118
Abstract
Rapunzel syndrome is a rare form of gastric trichobezoar extending through the small bowel and develops after swallowing hairs or carpet which are trapped in the gastric mucosa and become enmeshed. In adult, it occurs most frequently after a gastric resection, but in children, it is frequently associated with pica, mental retardation, and coexistent psychiatric pathologic disorders. This syndrome is usually found in girls with varying gastrointestinal symptoms due to gastric outlet obstruction or secondary ulcerations. Although most small trichobezoars are removed easily by using a gastrofiberscope, surgical removal is recommended for large or complicated trichobezoar. In this syndrome, psychiatric treatment should follow to diminish the frequency of recurrence. We report the case report of a 6-year-old girl who frequently swallowed of her hairs for 3 years, resulting in frequent vomiting and an epigastric palpable mass in which a gastric trichobezoar extended to the duodenum and proximal jejunum.
키워드
위모발석;Rapunzel 증후군;소아
Rapunzel syndrome;Trichobezoar;Child
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