ネグレクトを受けていた14歳女児の口蓋部粘表皮癌に対する治療を契機に発見された毛髪胃石の1例

• Published in: 日本口腔外科学会雑誌 Vol. 65; no. 2; pp. 57 - 61
• Main Authors: 岡本, 俊宏, 深田, 健治, 福澤, 智, 赤城, 裕一, 安藤, 智博
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.02.2019
• Subjects: ネグレクト; 小児; 毛髪胃石; 粘表皮癌
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.65.57

We report the case of a gastric trichobezoar found during the treatment of a palatal mucoepidermoid carcinoma in a 14-year-old girl who had experienced maternal neglect. The patient had been subjectively aware of pain in the palatal region since August 2015, at the age of 14-years, but it was never treated. In December 2015, she was examined at a local dental clinic and reffered to the dental and oral surgery department of a local hospital, where a biopsy-based diagnosis of mucoepidermoid carcinoma was made. She was then referred to our department. After detailed examinations, partial maxillectomy was performed with the patient under general anesthesia in January 2016. Abdominal distension was found upon initiation of anesthesia, and it was impossible to insert a gastric tube. Therefore, upper gastrointestinal endoscopy was performed, revealing a large mass of hair. General anesthesia was judged to be manageable, and the surgery was performed. On postoperative day 13, the trichobezoar was removed via a ventrotomy with the patient under general anesthesia in the pediatric surgery department. To date, 18 months after the first operation, there has been no recurrence, metastasis, trichobezoar, or trichophagia.