The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Subphrenic Esophageal Diverticulum Associated with Esophageal Dysmotility and Leiomyoma

식도운동장애와 평활근종을 동반한 횡격막하부 식도게실 1예

  • Oh, Jang Seok (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Eui Jung (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Song, Jeong Eun (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Bae, Chi Hoon (Department of Chest Surgery, Catholic University of Daegu School of Medicine) ;
  • Jung, Jin Tae (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kwon, Joong Goo (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Eun Young (Department of Internal Medicine, Catholic University of Daegu School of Medicine)
  • 오장석 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김의정 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 송정은 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 배지훈 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 정진태 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 권중구 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김은영 (대구가톨릭대학교 의과대학 내과학교실)
  • Received : 2012.05.21
  • Accepted : 2012.06.22
  • Published : 2013.03.01
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Abstract

Lower esophageal diverticula are frequently related to esophageal motor disorders. An epiphrenic esophageal diverticulum can also have a mechanical cause, such as an esophageal web, benign stricture, or leiomyoma. For a good therapeutic outcome, symptomatic patients with an esophageal diverticulum require a tailored approach. Therefore, it is important to evaluate motor disorders and other associated diseases in a patient with an esophageal diverticulum before devising a therapeutic strategy. We report a case of subphrenic diverticulum associated with an esophageal leiomyoma and motility disorder in a 58-year-old man who had suffered from intermittent regurgitation of food and epigastric soreness.

국내에서 횡경막하부 식도게실에서 식도운동장애와 평활근종이 동시에 확인된 증례의 보고는 없었다. 저자들은 간헐적인 음식물 역류와 속쓰림 증세가 있는 환자에서 식도 평활근종과 그에 동반된 횡경막하부 게실을 발견하고 수술 전 실시한 식도운동 검사에서 식도운동장애를 확인하였으며 게실 절제술 및 점막하 종양 절제술 시행 후 증상이 호전된 증례를 경험하였기에 보고하는 바이다.

Keywords

References

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