• 제목/요약/키워드: 게실

검색결과 86건 처리시간 0.018초

소장 폐쇄의 원인이 된 게실 간막 띠(Mesodiverticular band) 1례 (A Case of Mesodiverticular Band Causing Small Intestinal Obstruction)

  • 나현정;이경훈
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제7권2호
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    • pp.278-283
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    • 2004
  • 저자들은 이전에 건강했던 여아에서 갑작스런 복통과 담즙성 구토 증세를 보여 단순 복부 방사선 소견에서 소장 폐쇄 소견과 소장 조영술을 시행하여 협착 부위를 확인하고 수술을 시행 후 게실 간막 띠에 의한 소장의 폐쇄를 관찰한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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선천성 우심방 류의 수술치험 1례 보고 (Surgical Repair of the Congenital Aneurysm of the Right Atrium)

  • 유양기;김정원;정성호;박정준;윤태진;서동만;김영휘;고재곤;박인숙
    • Journal of Chest Surgery
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    • 제35권1호
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    • pp.56-59
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    • 2002
  • 우심방과 관상정맥동의 선천성 기형은 크게 4 가지로 분류되는데, 전반적으로 확장된 우심방, 단일 낭성 게실(saccular diverticula), 다발성 낭성 게실, 그리고 우심방이나 관상정맥동에서 발생한 류(aneurysm)이다. 환아는 평소 건강하였으며, 우연히 시작된 상기도 감염증상으로 내원하여 시행한 단순 흉부 촬영 및 심초음파에서 다른 동반 기형 없이 우심방의 심한 확장을 발견하였다. 확장된 우심방은 심폐기 보조하에서 광범위한 절제를 시행하였으며, 병리학적 검사에서는 심내막 및 심외막에 경도의 섬유화를 동반한 국소 다발성 심근소실의 소견을 보였다. 본원에서는 6세 환아의 선천성 우심방 류를 광범위한 우심방 절제를 통해 교정했기에 이에 문헌 고찰과 더불어 증례 보고하는 바이다.

비전형적인 위치에 발생한 상부 식도 게실 (Unusual Location of Esophageal Diverticulum)

  • 김태후;허철영;김범규;김용복;박일석
    • 대한기관식도과학회지
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    • 제15권2호
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    • pp.87-91
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    • 2009
  • Esophageal diverticulum is a rare entity, the true incidence of which is unknown, mainly because there are usually no clinical symptoms. Most esophageal diverticulum are found incidentally during an endoscopic or radiologic examination. Their classification is based on anatomical location; namely, upper third(Zenker or pharyngoesophageal), middle third(thoracic), or lower third(epiphrenic). Here we report a 52-years-old female presenting with dysphagia and regurgitation. Esophagogram showed esophageal diveticulum at lower cervical esophagus. Its positional aspect, it is different from Zenker's diveticulum. Treatment is surgical via an endoscopic or external approach. In view of the patient's age and anatomical location, various surgical approaches were considered as a therapeutic option for the management. This paper presents our experience in the management of esophageal diverticulum which was unusual location and stapled open resection without sternotomy.

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건상검진상 발견된 Killian-Jamieson Diverticulum 1예 (A Case of Killian-Jamieson Diverticulum in the Esophagus)

  • 선상우;정재현;이은상;이승원
    • 대한후두음성언어의학회지
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    • 제27권2호
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    • pp.134-137
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    • 2016
  • A Killian-Jamieson diverticulum (KJD) is an unfamillar and unusual cervical esophageal diverticulum. This diverticulum originates on the anterolateral aspect of the esophagus through the Killian-Jamieson's area that is formed between cricopharyngeal muscle and the lateral to longitudinal esophageal muscle. Recently, we experienced a patient who was found outpouching lesion on lateral side of left esophagus on the duodenoscopy. Then, a barium esophagography performed and in left lateral position demonstrated a left-sided diverticulum with a frontal projection, highly suggestive of a KJD. There are two ways of surgical approach to manage the KJD. First is external approach, another one is endoscopic approach. In common, external approach has been recommended for the treatment of KJD because of concern of nerve injury. We present a case of KJD that underwent external approach and sternocleidomastoid muscle flap in the management of KJD.

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이소성 췌장과 위점막을 가진 멕켈 게실에 의한 장중첩증 1예 (A Case of Intussusception Caused by Meckel's Diverticulum with Heterotopic Pancreatic and Gastric Tissues)

  • 김미진;김재영;설지영;강대영
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제9권1호
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    • pp.75-79
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    • 2006
  • 저자들은 장중첩증의 관장 정복 후 입원 관찰 기간 동안에 2차례 더 재발한 장중첩증을 가진 5세여 아에서 복부 CT 촬영으로 선두를 확인하고 복강경으로 치료한 이소성위점막과 췌조직을 동시에 가진 멕켈 게실에 의한 장중첩증 1예를 경험하였기에 문헌 고찰과 함께 보고한다.

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성인의 견인성 식도게실이 동반된 선천성 식도 기관지루 -1예 보고- (Congenital esophagobronchial fistula associated with esophageal traction diverticulum in adult -Report of one case-)

  • 심성보
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.510-514
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    • 1991
  • A fistulous communication between an esophageal traction diverticulum and the tracheo-bronchial tree appears to be of rare occurrence. This report reviews the feature of congenital esophagobronchial fistula associated with esophageal traction diverticulum. This 38-year-old male patient suffered from coughing, hemoptysis, fever and chest pain. This patient was taken a diverticulectomy and lobectomy of right lower lobe. Post-operation course was uneventful.

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횡경막 상부 식도게실을 동반한 범발성 식도경축증 -수술치험 1예- (Diffuse Esophageal Spasm with Epiphrenic Diverticulum - Report of 1 case -)

  • 양태봉;오봉석;이동준
    • Journal of Chest Surgery
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    • 제21권5호
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    • pp.924-928
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    • 1988
  • Diffuse esophageal spasm[DES] is a rare disease, and its surgical management is controversial. We experienced one case of diffuse esophageal spasm with a large epiphrenic diverticulum. We resected the diverticulum with right side approach and underwent extended esophageal myotomy from the apex of the chest to 3 cm above the diaphragm. And then we preserved the LES without antireflux procedure.

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좌심실게실을 동반한 칸트렐씨 5증후군 1례 보고 (A case report of Cantrell`s pentalogy associated with left ventricular diverticulum)

  • 성숙환;노준량
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.325-330
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    • 1982
  • A case of a 7 year old girl with rare congenital anomalies is reported. The anomalies as called Cantrell`s pentalogy is consisted of defect in supraumbilical abdominal wall, ventral diaphragm, adjacent pericardium, and lower sternum associated with cardiac malformation. Her cardiac lesion was muscular diverticulum of left ventricle. The diverticulum was resected and the other defects were repaired successfully.

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인두식도부 게실 2 (Pharyngoesophageal Diverticulum - 2 cases -)

  • 김주현;최준영
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.379-383
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    • 1987
  • Pharyngoesophageal diverticulum is a well-known disease entity but is seldomly reported in Korean literature. Recently the authors experienced two cases of pharyngoesophageal diverticulum. A 46 year old female and a 51 year old female patients were admitted due to foreign body sensation in esophagus and dysphagia. Preoperative esophagography and esophagoscopy confirmed the diagnosis of pharyngoesophageal diverticulum in each patient. The authors performed one-stage pharyngoesophageal diverticulectomy and myotomy. Postoperative esophagography revealed no diverticulum or stenosis and symptoms were markedly relieved.

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