ラプンツェル症候群:緊急腹腔鏡手術
Raul Yepez Adrianzen1, Alejandro Irrazabal Ampuero1, Angie Mariños Claudet1
1Emergency Surgery and Surgical Critical Care Service, Guillermo Almenara National Hospital, Lima 15018, Peru.
Journal of surgical case reports
|February 2, 2026
まとめ
抜毛症を伴う患者に胃閉塞を引き起こした稀な毛髪のう胞であるラプンツェル症候群。腹腔鏡下手術で毛髪の塊を摘出し、再発予防のための精神科的ケアの必要性を強調した。
科学分野:
- 消化器病学
- 精神医学
- 外科症例報告
背景:
- ラプンツェル症候群は毛髪のう胞の稀な形態である。
- 抜毛症や異食症などの精神疾患と関連することが多い。
- 未治療の精神状態は、重度の消化器合併症につながる可能性がある。
研究 の 目的:
- 若年女性におけるラプンツェル症候群の症例を報告する。
- 大きな胃毛髪のう胞の診断および外科的管理を記述する。
- 再発予防のための集学的ケアの重要性を強調する。
主な方法:
- 診断的評価には、上部内視鏡検査およびコンピューテッドトモグラフィー(CT)が含まれた。
- 外科的介入には、毛髪のう胞摘出のための緊急腹腔鏡手術が含まれた。
- 術後ケアには精神科的フォローアップが含まれた。
主要な成果:
- 24歳女性が胃排出路閉塞の症状を呈した。
- 診断画像により、上部消化管の完全閉塞を引き起こす大きな毛髪のう胞が確認された。
- 腹腔鏡手術により毛髪のう胞を摘出し、術後の回復は良好であった。
結論:
- ラプンツェル症候群の管理には、タイムリーな診断と低侵襲手術が不可欠である。
- 精神科的サポートを含む、調整された集学的管理が不可欠である。
- 毛髪のう胞の再発を防ぐためには、根本的な精神疾患に対処することが鍵となる。
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