Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Traumatic Complete Renal Avulsion Herniating into the Left Pleural Cavity -A case report-

외상성 횡경막 탈장을 통한 신장손상 -1예 보고-

  • Chon Soon-Ho (Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital) ;
  • Lee Chul Burm (Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital)
  • 전순호 (한양대학교 구리병원 흉부외과) ;
  • 이철범 (한양대학교 구리병원 흉부외과)
  • Published : 2005.05.01
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Abstract

Herniation of the kidney through a traumatic diaphragmatic rupture in itself is rare. However, complete avulsion of the renal pedicle implies not only a more rare event, but also a surgical emergency. We report a case of a patient with complete avulsion of renal vessels and ureter of an intrathoracic kidney herniated through a diaphragmatic rupture caused by blunt trauma. Prompt diagnosis with a computer tomographic scan and immediate surgery saved the patient's life.

외상으로 인한 횡격막 파열과 그로 인한 신장 이탈은 드문 현상이며, 더욱이 신장 이탈시 신장 다리(renal pedicle)가 완전히 찢어지는 현상은 매우 드물게 발생하며 응급 수술을 시행하지 않으면 생명이 위험할 수 있다. 이에 저자들은 외상성 횡격막 파열과 함께 흉강 내 혈관과 요관이 완전히 찢어진 상태로 신장이 탈출한 1예를 경험하였기에 간단한 문헌 고찰과 증례를 보고하는 바이다.

Keywords

References

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