Mao Shi intestinal obstruction syndrome

Mao Shi intestinal obstruction syndrome that is Rapunzel syndrome. Intrinsic rare. As early as 1812 Jacob Grimm and first reported one case of teenage patients, the patients named after named Rapunzel. China also reported gastrointestinal hair bezoar.
[Diagnosis]
1. Have pica disease, or swallowing a large number of hair, silk thread, and other medical history. 2. Pyloric obstruction or a small bowel obstruction high performance.
3. Upper abdominal mass can be touched, through endoscopy and X-ray examination, remove tumors and confirmed the existence of stone.
[Treatment]
Intrinsic to surgical treatment for hair longer Stone, the general stones often more difficult and will take multiple incision, if intestinal necrosis, bowel resection should be done.
【Etiology: 】
Many pica mental disease or chewing and swallowing good hair, thread-like, these long fiber material swallowed stomach, the body can not digest, and in the mechanical gastric peristalsis under winding into corporations, formed Mao Shi , with the stomach to the intestinal contents forward, the tail end of stone can be entered by the pyloric jejunum, as a fiber-like substance winding tight, Mao Shi difficult to continue to move forward, and in the upper stomach and jejunum gradually increased, from high enterovirus obstruction or pyloric obstruction, Mao-Chang oppression of the small bowel wall side of the membrane caused necrosis or even perforation. Occasionally, Mao Shi continue to the end of ileal or large intestine.
【 Clinical manifestations】
By women, to young people as common, expressed as upper abdominal pain, abdominal distention, nausea, vomiting, hair stone for the valve, not vomiting in general, vomit may contain bile, but in the pyloric obstruction , it is non-bile, a small number can be associated with diarrhea and gastrointestinal bleeding, in the last physical examination can often palpable abdominal mass. If the wall necrosis caused gastrointestinal perforation may have diffuse abdominal symptoms and signs of inflammation.