외상성 횡경막 탈장을 통한 신장손상 -1예 보고-

Traumatic Complete Renal Avulsion Herniating into the Left Pleural Cavity -A case report-

  • 전순호 (한양대학교 구리병원 흉부외과) ;
  • 이철범 (한양대학교 구리병원 흉부외과)
  • 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)
  • 발행 : 2005.05.01

초록

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.

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.

키워드

참고문헌

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