Наблюдение трихобезоара желудка и синдрома Рапунцель у 9-летней девочки
Наблюдение трихобезоара желудка и синдрома Рапунцель у 9-летней девочки
Соколов Ю.Ю., Стоногин С.В., Коровин С.А. и др. Наблюдение трихобезоара желудка и синдрома Рапунцель у 9-летней девочки. Педиатрия. Consilium Medicum. 2019; 4: 58–61. DOI: 10.26442/26586630.2019.4.190692
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Аннотация
В статье представлено чрезвычайно редкое клиническое наблюдение трихобезоара желудка большого размера у девочки 9 лет. Длительное время заболевание протекало бессимптомно. Пальпируемое объемное образование в проекции желудка позволило заподозрить наличие безоара желудка. Вследствие большого размера трихобезоара он удален хирургическим способом с хорошим клиническим эффектом. Девочка выписана с выздоровлением. Данный случай демонстрирует выбор оптимальной тактики при диагностике и хирургическом лечении ребенка с трихобезоаром большого размера.
Ключевые слова: безоар, трихобезоар желудка, синдром Рапунцель, детская хирургия, дети.
Key words: besoar, trichobesoar of the stomach, syndrome Rapunzel, pediatric surgery, children.
Ключевые слова: безоар, трихобезоар желудка, синдром Рапунцель, детская хирургия, дети.
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Key words: besoar, trichobesoar of the stomach, syndrome Rapunzel, pediatric surgery, children.
Список литературы
1. Арабаджян В.А. и др. Безоары в хирургической практике. Рос. мед. журн. 1996; 4: 51–3.
[Arabadzhian V.A. et al. Bezoary v khirurgicheskoi praktike. Ros. med. zhurn. 1996; 4: 51–3 (in Russian).]
2. Бебуришвили А.Г., Мандрико В.В., Акинчиц А.Н. Инородные тела желудочно-кишечного тракта. Учебно-методическое пособие для врачей-интернов, клинических ординаторов, хирургов и эндоскопистов. Волгоград: ВолГМУ, 2007.
[Beburishvili A.G., Mandriko V.V., Akinchits A.N. Foreign bodies of the gastrointestinal tract. Teaching aid for interns, clinical residents, surgeons and endoscopists. Volgograd: VolGMU, 2007 (in Russian).]
3. Доржиев Б.Д. Трихобезоар в хирургической практике по материалам ДХО ГКБСМП им. В.В.Ангапова г. Улан-Удэ. Бюл. ВСНЦ СО РАМН. 2009; 2 (66): 239–40.
[Dorzhiev B.D. Trikhobezoar v khirurgicheskoi praktike po materialam DKhO GKBSMP im. V.V.Angapova g. Ulan-Ude. Biul. VSNTs SO RAMN. 2009; 2 (66): 239–40 (in Russian).]
4. Baudamant WW. Memoire sur des cheveux trouves dans i'estomac et dans les in-testines greles. J Med Chir Pharm 1779; 52: 507–14.
5. Azenedo S, Lopes J, Marques A et al. Successful endoscopic resciution of a Jorge gastric bezoar in о child. World J Gastroinest Endosc 20l1; 3: 129–32.
6. Соколов Ю.Ю., Давидов М.И. Редкие наблюдения безоаров у детей. Рос. педиатрический журн. 2006; 1: 54–6.
[Sokolov Iu.Iu., Davidov M.I. Redkie nabliudeniia bezoarov u detei. Ros. pediatricheskii zhurn. 2006; 1: 54–6 (in Russian).]
7. Соколов Ю.Ю., Давидов М.И. Безоары желудочно-кишечного тракта у детей, Хирургические аспекты педиатрии. 2008; с. 60–5.
[Sokolov Iu.Iu., Davidov M.I. Bezoary zheludochno-kishechnogo trakta u detei, Khirurgicheskie aspekty pediatrii. 2008; p. 60–5 (in Russian).]
8. Armstrong JH, Holtnnuller КС, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse. Curr Surg 2001; 58: 202–4.
9. Tiago Santos et al. Trichophagia and trichobezoar: case report. Clinical practice and epidemiology in mental health. Clin Pract Epidemiol Ment Health 2012; 8: 43–5.
10. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery 1968; 63: 339–43.
11. Emre AU, Tascilar O, Karadeniz G et al. Rapunzel syndrome of a cotton bezoar in a multimorbid patient. Clinics (Sao Paulo) 2008; 63: 285–8.
12. Hirugade ST, Talpallikar MC, Deshpande AV et al. Rapunzel syndrome with a long tail. Ind J Pediatr 2001; 68: 895–6.
13. Naik S, Gupta V, Rangole A et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24: 157–61.
14. Gorter RR, Kneepkens CM, Mattens EC et al. Management of trichobezoar: case report and literature review. Pediatr Surg Int 2010; 26: 457–63.
15. Singla SL, Rattan KN, Kaushik N et al. Rapunzel syndrome: a case report. Am J Gastroenterol 1999; 94: 1970–1.
16. Shad wan A and Mohammad A. Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointestinal Endoscopy 2000: 7G4–7G6.
17. Thayumanavan, Rajkumar LK, Kantian M. Rapunzel syndrome-A rare form of trichobezoar. J Digest Endoscopy 2013; 4 (1): 19.
18. Nirasawa V, Mori T, Ito Y, Tanaka H et al. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33: 663–5.
19. Marique L, Wirtz M, Henkens A et al. J Gastrointest Surg 2017; 21: 1093.
20. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant trichobezoar. JSLS 2010; 14: 259–62.
21. Kanetaka K, Azuma T, Ito S et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg 2003; 38: e7.
22. Shami SB, Jararaa AA, Hamade A et al. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparose Endosc Pereutan Tech 2007; 17: 197–200.
23. Yau KK, Siu WT, Law BK et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg 2005: 140: 972–5.
24. Frey AS, McKee M, King IA et al. Hair apparent: rapunzel syndrome. Am J Psy 2005; 162: 242–3.
2.Beburishvili A.G., Mandriko V.V., Akinchits A.N. Foreign bodies of the gastrointestinal tract. Teaching aid for interns, clinical residents, surgeons and endoscopists. Volgograd: VolGMU, 2007 (in Russian).
3. Dorzhiev B.D. Trikhobezoar v khirurgicheskoi praktike po materialam DKhO GKBSMP im. V.V.Angapova g. Ulan-Ude. Biul. VSNTs SO RAMN. 2009; 2 (66): 239–40 (in Russian).
4. Baudamant WW. Memoire sur des cheveux trouves dans i'estomac et dans les in-testines greles. J Med Chir Pharm 1779; 52: 507–14.
5. Azenedo S, Lopes J, Marques A et al. Successful endoscopic resciution of a Jorge gastric bezoar in о child. World J Gastroinest Endosc 20l1; 3: 129–32.
6. Sokolov Iu.Iu., Davidov M.I. Redkie nabliudeniia bezoarov u detei. Ros. pediatricheskii zhurn. 2006; 1: 54–6 (in Russian).
7. Sokolov Iu.Iu., Davidov M.I. Bezoary zheludochno-kishechnogo trakta u detei, Khirurgicheskie aspekty pediatrii. 2008; p. 60–5 (in Russian).
8. Armstrong JH, Holtnnuller КС, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse. Curr Surg 2001; 58: 202–4.
9. Tiago Santos et al. Trichophagia and trichobezoar: case report. Clinical practice and epidemiology in mental health. Clin Pract Epidemiol Ment Health 2012; 8: 43–5.
10. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery 1968; 63: 339–43.
11. Emre AU, Tascilar O, Karadeniz G et al. Rapunzel syndrome of a cotton bezoar in a multimorbid patient. Clinics (Sao Paulo) 2008; 63: 285–8.
12. Hirugade ST, Talpallikar MC, Deshpande AV et al. Rapunzel syndrome with a long tail. Ind J Pediatr 2001; 68: 895–6.
13. Naik S, Gupta V, Rangole A et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24: 157–61.
14. Gorter RR, Kneepkens CM, Mattens EC et al. Management of trichobezoar: case report and literature review. Pediatr Surg Int 2010; 26: 457–63.
15. Singla SL, Rattan KN, Kaushik N et al. Rapunzel syndrome: a case report. Am J Gastroenterol 1999; 94: 1970–1.
16. Shad wan A and Mohammad A. Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointestinal Endoscopy 2000: 7G4–7G6.
17. Thayumanavan, Rajkumar LK, Kantian M. Rapunzel syndrome-A rare form of trichobezoar. J Digest Endoscopy 2013; 4 (1): 19.
18. Nirasawa V, Mori T, Ito Y, Tanaka H et al. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33: 663–5.
19. Marique L, Wirtz M, Henkens A et al. J Gastrointest Surg 2017; 21: 1093.
20. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant trichobezoar. JSLS 2010; 14: 259–62.
21. Kanetaka K, Azuma T, Ito S et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg 2003; 38: e7.
22. Shami SB, Jararaa AA, Hamade A et al. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparose Endosc Pereutan Tech 2007; 17: 197–200.
23. Yau KK, Siu WT, Law BK et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg 2005: 140: 972–5.
24. Frey AS, McKee M, King IA et al. Hair apparent: rapunzel syndrome. Am J Psy 2005; 162: 242–3.
[Arabadzhian V.A. et al. Bezoary v khirurgicheskoi praktike. Ros. med. zhurn. 1996; 4: 51–3 (in Russian).]
2. Бебуришвили А.Г., Мандрико В.В., Акинчиц А.Н. Инородные тела желудочно-кишечного тракта. Учебно-методическое пособие для врачей-интернов, клинических ординаторов, хирургов и эндоскопистов. Волгоград: ВолГМУ, 2007.
[Beburishvili A.G., Mandriko V.V., Akinchits A.N. Foreign bodies of the gastrointestinal tract. Teaching aid for interns, clinical residents, surgeons and endoscopists. Volgograd: VolGMU, 2007 (in Russian).]
3. Доржиев Б.Д. Трихобезоар в хирургической практике по материалам ДХО ГКБСМП им. В.В.Ангапова г. Улан-Удэ. Бюл. ВСНЦ СО РАМН. 2009; 2 (66): 239–40.
[Dorzhiev B.D. Trikhobezoar v khirurgicheskoi praktike po materialam DKhO GKBSMP im. V.V.Angapova g. Ulan-Ude. Biul. VSNTs SO RAMN. 2009; 2 (66): 239–40 (in Russian).]
4. Baudamant WW. Memoire sur des cheveux trouves dans i'estomac et dans les in-testines greles. J Med Chir Pharm 1779; 52: 507–14.
5. Azenedo S, Lopes J, Marques A et al. Successful endoscopic resciution of a Jorge gastric bezoar in о child. World J Gastroinest Endosc 20l1; 3: 129–32.
6. Соколов Ю.Ю., Давидов М.И. Редкие наблюдения безоаров у детей. Рос. педиатрический журн. 2006; 1: 54–6.
[Sokolov Iu.Iu., Davidov M.I. Redkie nabliudeniia bezoarov u detei. Ros. pediatricheskii zhurn. 2006; 1: 54–6 (in Russian).]
7. Соколов Ю.Ю., Давидов М.И. Безоары желудочно-кишечного тракта у детей, Хирургические аспекты педиатрии. 2008; с. 60–5.
[Sokolov Iu.Iu., Davidov M.I. Bezoary zheludochno-kishechnogo trakta u detei, Khirurgicheskie aspekty pediatrii. 2008; p. 60–5 (in Russian).]
8. Armstrong JH, Holtnnuller КС, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse. Curr Surg 2001; 58: 202–4.
9. Tiago Santos et al. Trichophagia and trichobezoar: case report. Clinical practice and epidemiology in mental health. Clin Pract Epidemiol Ment Health 2012; 8: 43–5.
10. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery 1968; 63: 339–43.
11. Emre AU, Tascilar O, Karadeniz G et al. Rapunzel syndrome of a cotton bezoar in a multimorbid patient. Clinics (Sao Paulo) 2008; 63: 285–8.
12. Hirugade ST, Talpallikar MC, Deshpande AV et al. Rapunzel syndrome with a long tail. Ind J Pediatr 2001; 68: 895–6.
13. Naik S, Gupta V, Rangole A et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24: 157–61.
14. Gorter RR, Kneepkens CM, Mattens EC et al. Management of trichobezoar: case report and literature review. Pediatr Surg Int 2010; 26: 457–63.
15. Singla SL, Rattan KN, Kaushik N et al. Rapunzel syndrome: a case report. Am J Gastroenterol 1999; 94: 1970–1.
16. Shad wan A and Mohammad A. Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointestinal Endoscopy 2000: 7G4–7G6.
17. Thayumanavan, Rajkumar LK, Kantian M. Rapunzel syndrome-A rare form of trichobezoar. J Digest Endoscopy 2013; 4 (1): 19.
18. Nirasawa V, Mori T, Ito Y, Tanaka H et al. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33: 663–5.
19. Marique L, Wirtz M, Henkens A et al. J Gastrointest Surg 2017; 21: 1093.
20. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant trichobezoar. JSLS 2010; 14: 259–62.
21. Kanetaka K, Azuma T, Ito S et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg 2003; 38: e7.
22. Shami SB, Jararaa AA, Hamade A et al. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparose Endosc Pereutan Tech 2007; 17: 197–200.
23. Yau KK, Siu WT, Law BK et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg 2005: 140: 972–5.
24. Frey AS, McKee M, King IA et al. Hair apparent: rapunzel syndrome. Am J Psy 2005; 162: 242–3.
________________________________________________
2.Beburishvili A.G., Mandriko V.V., Akinchits A.N. Foreign bodies of the gastrointestinal tract. Teaching aid for interns, clinical residents, surgeons and endoscopists. Volgograd: VolGMU, 2007 (in Russian).
3. Dorzhiev B.D. Trikhobezoar v khirurgicheskoi praktike po materialam DKhO GKBSMP im. V.V.Angapova g. Ulan-Ude. Biul. VSNTs SO RAMN. 2009; 2 (66): 239–40 (in Russian).
4. Baudamant WW. Memoire sur des cheveux trouves dans i'estomac et dans les in-testines greles. J Med Chir Pharm 1779; 52: 507–14.
5. Azenedo S, Lopes J, Marques A et al. Successful endoscopic resciution of a Jorge gastric bezoar in о child. World J Gastroinest Endosc 20l1; 3: 129–32.
6. Sokolov Iu.Iu., Davidov M.I. Redkie nabliudeniia bezoarov u detei. Ros. pediatricheskii zhurn. 2006; 1: 54–6 (in Russian).
7. Sokolov Iu.Iu., Davidov M.I. Bezoary zheludochno-kishechnogo trakta u detei, Khirurgicheskie aspekty pediatrii. 2008; p. 60–5 (in Russian).
8. Armstrong JH, Holtnnuller КС, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse. Curr Surg 2001; 58: 202–4.
9. Tiago Santos et al. Trichophagia and trichobezoar: case report. Clinical practice and epidemiology in mental health. Clin Pract Epidemiol Ment Health 2012; 8: 43–5.
10. Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An unusual complication of intestinal bezoar. Surgery 1968; 63: 339–43.
11. Emre AU, Tascilar O, Karadeniz G et al. Rapunzel syndrome of a cotton bezoar in a multimorbid patient. Clinics (Sao Paulo) 2008; 63: 285–8.
12. Hirugade ST, Talpallikar MC, Deshpande AV et al. Rapunzel syndrome with a long tail. Ind J Pediatr 2001; 68: 895–6.
13. Naik S, Gupta V, Rangole A et al. Rapunzel syndrome reviewed and redefined. Dig Surg 2007; 24: 157–61.
14. Gorter RR, Kneepkens CM, Mattens EC et al. Management of trichobezoar: case report and literature review. Pediatr Surg Int 2010; 26: 457–63.
15. Singla SL, Rattan KN, Kaushik N et al. Rapunzel syndrome: a case report. Am J Gastroenterol 1999; 94: 1970–1.
16. Shad wan A and Mohammad A. Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointestinal Endoscopy 2000: 7G4–7G6.
17. Thayumanavan, Rajkumar LK, Kantian M. Rapunzel syndrome-A rare form of trichobezoar. J Digest Endoscopy 2013; 4 (1): 19.
18. Nirasawa V, Mori T, Ito Y, Tanaka H et al. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33: 663–5.
19. Marique L, Wirtz M, Henkens A et al. J Gastrointest Surg 2017; 21: 1093.
20. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant trichobezoar. JSLS 2010; 14: 259–62.
21. Kanetaka K, Azuma T, Ito S et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg 2003; 38: e7.
22. Shami SB, Jararaa AA, Hamade A et al. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparose Endosc Pereutan Tech 2007; 17: 197–200.
23. Yau KK, Siu WT, Law BK et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg 2005: 140: 972–5.
24. Frey AS, McKee M, King IA et al. Hair apparent: rapunzel syndrome. Am J Psy 2005; 162: 242–3.
Авторы
Ю.Ю. Соколов*1, С.В. Стоногин2, С.А. Коровин1, А.С. Кошурникова2, Д.В. Афонин2, С.Ю. Любанская2, Л.М. Раппопорт2
1 ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования»
Минздрава России, Москва, Россия;
2 ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» Департамента здравоохранения г. Москвы, Москва, Россия
*sokolov-surg@yandex.ru
1 Russian Medical Academy of Continuous Professional Education, Moscow, Russia;
2 Bashlyaeva Children's City Clinical Hospital, Moscow, Russia
*sokolov-surg@yandex.ru
1 ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования»
Минздрава России, Москва, Россия;
2 ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» Департамента здравоохранения г. Москвы, Москва, Россия
*sokolov-surg@yandex.ru
________________________________________________
1 Russian Medical Academy of Continuous Professional Education, Moscow, Russia;
2 Bashlyaeva Children's City Clinical Hospital, Moscow, Russia
*sokolov-surg@yandex.ru
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