• 제목/요약/키워드: Congenital diverticulum

검색결과 33건 처리시간 0.018초

Isolated Congenital Left Ventricular Diverticulum in Adults

  • Jung, Joon Chul;Oh, Hong Chul;Kim, Kyung-Hwan
    • Journal of Chest Surgery
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    • 제48권5호
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    • pp.355-358
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    • 2015
  • Isolated congenital left ventricular diverticulum is a rare cardiac malformation. Here, we report the case of a 33-year-old woman who had suffered from recurrent transient ischemic attacks for 6 years. Preoperative cardiac magnetic resonance imaging and computed tomography angiography revealed a diverticulum near the apex. The diverticulum was successfully obliterated by cardiopulmonary bypass. We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.

선천성 우심실 진성 게실을 동반한 이중방 우심실 수술 1례 보고 (Double Chambered Right Ventricle with Congenital Right Ventricular True Diverticulum -A Case Report-)

  • 이형민
    • Journal of Chest Surgery
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    • 제28권1호
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    • pp.60-65
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    • 1995
  • Congenital diverticula of the cardiac ventricle have been reported as arising either from the left ventricle or, rarely from both ventricles. A diverticulum arising from the right ventricle alone is very rare. Furthermore the diverticulum associated with double chambered right ventricle was extremely rare. We experienced a 62 years old female of double chambered right ventricle combined with congenital right ventricular true diverticulum. She had complained intermittent chest pain and mild dyspnea on exertion during 8 months. The chest X-ray and chest CT showed protruded abnormal density at anterolateral side of right ventricular outflow tract. Preoperative angiography demonstrated a double chambered right ventricle and a right ventricular diverticulum. In operative finding, there was found a anomalous muscle band, dividing the right ventricle into an inflow and outflow portion, and a 5x6cm sized right ventricular diverticulum arised from conus region with a stenotic orifice of 1.5cm in diameter. The diverticulum was open toward the infundibulum, and its orifice was approximately 1cm in diameter. On treatment, the diverticulum orifice was closed directly and the abnormal muscle band was resected in order to widen the right ventricular outflow tract. The postoperative result was satisfactory and good without specific complications.

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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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성인의 선천성 기도-기관지루: 1례 보고 (Congenital Bronchoesophageal Fistula in Adult - Report of a case -)

  • 표현인
    • Journal of Chest Surgery
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    • 제24권8호
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    • pp.824-829
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    • 1991
  • We have experienced a case of 42-year-old woman with congenital broncho-esophageal fistula. The patient had productive coughing since childhood. A barium-swallowing examination showed a lower esophageal diverticulum communicating via a fistula with posterior basal segment of right lower lobe. Bronchography showed bronchiectasis in right middle and lower lobes. At thoracotomy resection of the diverticulum, bronchoesophageal fistula, and right middle and lower lobe of lung were performed. The postoperative course was uneventful.

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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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신 외상 후 발생한 거대 신배게실 (Acquired Huge Calyceal Diverticulum After Renal Injury)

  • 이명진;최재영;조승훈;임종완;이승태;민승기
    • Journal of Trauma and Injury
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    • 제22권2호
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    • pp.264-268
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    • 2009
  • The calyceal diverticulum is a cystic cavity lined by a transitional epithelium, is encased within the renal substance, and is situated peripheral to a minor calyx, to which it is connected by a narrow channel. Both congenital and acquired factors have been suggested to explain the formation of a calyceal diverticulum. We experienced a case of a huge calyceal diverticulum that was newly developed after a renal injury.

소아의 제장간막관 기형의 임상적 고찰 (Clinical Analysis of Vitelline Duct Anomalies in Children)

  • 김성집;정재희;송영택
    • Advances in pediatric surgery
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    • 제13권1호
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    • pp.37-44
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    • 2007
  • A vitelline duct (VD) anomaly is a relatively common congenital abnormality of the umbilical area. The anomalies include patent vitelline duct (PVD), cyst, fistula or sinus. The incidence is approximately 2% of the populations, but development of symptoms is rare. Recently, we experienced two cases; PVD accompanied by a small omphalocele and intestinal volvulus due to mesenteric band between Meckel's diverticulum and the mesentery. Thereafter,we evaluated the data of vitelline duct anomalies for 27 years. From 1980 to 2006, 18 cases of VD anomalies were reviewed based on the hospital records retrospectively. There were 15 boys and 3 girls and age ranged from 2 days to 15 years. Among the 18 cases, 15 cases were symptomatic and consisted of Meckel's diverticulum (10 cases), PVD (4 cases) and umbilical polyp (1 case). Three asymptomatic cases of Meckel's diverticulum were found incidentally were and were observed without resection. Ten cases of Meckel's diverticulum were presented with intestinal bleedings (4 cases), intestinal obstructions (5 cases) and perforation (1 case). Wedge resections and segmental resections of ileum were performed in 8 patients and 2 patients, respectively. Postoperative complications were adhesive ileus (1 case) and wound seroma (1 case). Small omphaloceles were accompanied in two of 4 PVD patients. There was 1 small omphalocele case which was accompanied by a prolapse of ileum. In summary, VD anomalies were more common in male and more than half of them were found in patients less than 1 year of age. PVD was diagnosed most frequently in neonates. Meckel's diverticulum presented with intestinal obstruction more frequently than bleeding.

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심한 방광 요관 역류를 동반한 양측성 Hutch's Diverticulum 1례 (A Case of Hutch's Diverticulum Associated with Severe Bilateral Vesicoureteral Reflux)

  • 신종수;전유식;나창수;정건영;염규영
    • Childhood Kidney Diseases
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    • 제2권1호
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    • pp.86-89
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    • 1998
  • A bladder diverticulum occurs when the bladder mucosa herniates or protrudes through the muscular wall of the baldder. The majority of congenital bladder diverticula occurs in males. They are the most common in the region of the bladder base, most frequently in the region of the ureteral hiatus, in which case they are known as Hutch's diverticula. They can give rise to obstruction or reflux. We had experienced a case of bilateral Hutch's diverticulum associated with vesicoureterai reflux in a 23 month old male. Chief complaints were urinary frequency and dysuria. Voiding cystourogram and CT scan revealed large bilateral Hutch's diverticulum with bilateral vesiciureteral reflux grade VI. There was evidence of urinary infection. This patient was successfully treated by ureteroneocystostomy. We report this case with a brief review of related literatures.

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