Trichobézoard : à propos de 5 observations

Autor:	E. Guye, C. Roche, C. Glastre, E. Coinde, Jean-Louis Stephan, O. Mory, C. Galambrun, M. Halabi
Rok vydání:	2005
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry General surgery Context (language use) medicine.disease Palpation Abdominal mass Pediatrics Perinatology and Child Health medicine Rapunzel syndrome medicine.symptom business Esophageal reflux
Zdroj:	Archives de Pédiatrie. 12:1608-1612
ISSN:	0929-693X
DOI:	10.1016/j.arcped.2005.07.013
Popis:	Trichobezoars are made up of concretions of ingested hair and food. A history of occlusive syndrome in a context of trichotillomania and psychological problems must lead to this diagnosis. Bezoars can be fortuitously recognised by palpation of an epigastric abdominal mass while investigating anemia or esophageal reflux. This deviance is particularly dangerous. The first case of this series illustrates the Rapunzel syndrome with many perforations and necrosis of the small bowel. The 4 others are strict intragastric bezoars, quickly identified by echography. Treatment is exclusively surgical, digestion by papain or endoscopic extraction being impossible. Psychological assistance is mandatory.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b7aace972f8a42d7edb1c93c607d0cda https://doi.org/10.1016/j.arcped.2005.07.013 Zobrazit plný text záznamu Full Text from ScienceDirect