相信你的直觉:一个毛的情况-胃三虫病例报告
Amy Yeung1, Lauren Dankner2, J Antonio Quiros2
1Department of Internal Medicine, The Valley Hospital, Paramus, NJ, United States.
Frontiers in pediatrics
|March 16, 2026
概括
罕见的毛质称为trichobezoars可以导致儿童的腹痛. 一个7岁的女孩.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
- 手术病理学手术病理学
背景情况:
- 三动物是罕见的胃质量,由摄入的毛发形成.
- 它们在年轻女性中更为常见,并且可以表现为非特异性腹部症状.
- 由于症状与其他疾病重叠,差异诊断可能具有挑战性.
研究的目的:
- 报告一例儿科三动物最初被误诊的病例.
- 突出考虑trichobezoars在儿科腹痛的差异诊断的重要性.
- 强调食管胃管腺镜 (EGD) 在诊断中的作用.
主要方法:
- 一个7岁的女性患者的病例报告.
- 最初的诊断工作包括X光,MRI和UGI系列.
- 通过EGD进行最终诊断.
主要成果:
- 最初的成像表明SMA综合征,但对于trichobezoar没有确定性.
- EGD成功地发现了一种胃三动物.
- 患者出现了普遍的腹痛和快速减肥.
结论:
- 应考虑在儿科患者,特别是年轻女性,有无法解释的腹部症状时使用trichobezoars.
- 延迟诊断是常见的,当临床表现缺乏典型的迹象,如脱发.
- EGD是识别胃三动物的关键诊断工具.
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