• Title/Summary/Keyword: diverticulum

Search Result 147, Processing Time 0.022 seconds

Isolated Congenital Left Ventricular Diverticulum in Adults

  • Jung, Joon Chul;Oh, Hong Chul;Kim, Kyung-Hwan
    • Journal of Chest Surgery
    • /
    • v.48 no.5
    • /
    • pp.355-358
    • /
    • 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.

Spontaneous Perforation of Meckel's Diverticulum in a Neonate (멕켈 게실 천공에 의한 신생아 복막염 1례)

  • Kim, Dong Won;Kim, Seung Sin;Park, Jae Ock;Lee, Do Sang
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.7 no.1
    • /
    • pp.119-123
    • /
    • 2004
  • Meckel's diverticulum is the most common malformation of gastrointestinal tract. Symptoms of Meckel's diverticulum usually arise within 2 years of life. The most common presentations include hemorrhage, perforation, diverticulitis and intestinal obstruction. Perforation of the Meckel's diverticulum in a neonate is uncommon but life threatening condition. We describe the first case of perforation of Meckel's diverticulum in a 1-day-old neonate who presented with abdominal distension without hemorrhage.

  • PDF

Surgical Treatment of the Esophageal Diverticula (식도게실의 외과적 치료)

  • 이계영
    • Journal of Chest Surgery
    • /
    • v.25 no.12
    • /
    • pp.1537-1541
    • /
    • 1992
  • Eleven patients with esophageal diverticulum were operated on between August 1982 and August 1992 at the Department of Thoracic and Cardiovascular Surgery of Chonnam National University Hospital have been studied. 9 patients were male and 2 were famale and the age distribution was between 20 and 55 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The types of esophageal diverticulum were traction type in 6 cases and pulsion type in 5 cases. There were nine cases of midesophageal diverticula, 1 cases of upper-thoracic esophageal diverticulum and 1 cases of epiphrenic diverticulum. Diverticulectomy alone in 10 cases and diverticulopexy was performed in 1 case. Fistulectomy in 5 cases, lobectomy in 1 case, segmentectomy in 1 case, and Eloesser`s procedure in 1 case were performed with associated procedures. There were no death or morbidity and all patients have achieved marked improvement of symptoms except three patients who had a concomitant mucoepidermoid tumor, had a complicated postoperative pyothorax, and had a postoperative recurrence of midesophageal diverticulum. Recurrence of symptoms were not noticed during follow up except 1 recurrence of diverticulum confirmed by esophagogram.

  • PDF

A Case of Tracheal Diverticulum that is an Incidental Finding at Preoperative Computed Tomography (수술전 컴퓨터 단층 촬영에서 우연히 발견된 기관 게실 1예)

  • Lee, Dong-Hoon;Jo, Si-Young;Lee, Chang-Joon;Lee, Joon-Kyoo
    • Korean Journal of Head & Neck Oncology
    • /
    • v.27 no.1
    • /
    • pp.77-79
    • /
    • 2011
  • Tracheal diverticulum is very rare, that is usually an incidental finding at routine chest computed tomography scan. Differential diagnosis of tracheal diverticulum includes pharyngocele, laryngocele, Zenker diverticulum, apical lung hernia, blebs and bulla, and pneumomediastinum. Treatment options can be devided into medical and surgical. The majority of patients is asymptomatic and requires no specific intervention. We experienced one case of tracheal diverticulum in patient with tongue cancer and report it with reviews of literature.

Surgical Treatment of Killian-Jamieson Diverticulum

  • Kim, Dong-Chan;Hwang, Jae-Joon;Lee, Woo-Surng;Lee, Song-Am;Kim, Yo-Han;Chee, Hyun-Keun
    • Journal of Chest Surgery
    • /
    • v.45 no.4
    • /
    • pp.272-274
    • /
    • 2012
  • Killian-Jamieson diverticulum is a rare diverticular disease. This disease differs from Zenker's diverticulum in its location and mechanism. Various treatment modality have been attempted, but traditional surgical treatment has been recommended for a symptomatic Killian-Jamieson diverticulum due to the concern of possible nerve injury. We performed surgical treatment by cervical incision. We report here on a case of Killian-Jamieson diverticulum and we briefly review the relevant literature.

Condylar jugular diverticulum: A report of 3 cases

  • Jagtap, Rohan;Wazzan, Taggreed;Hansen, Matthew;Kashtwari, Deeba
    • Imaging Science in Dentistry
    • /
    • v.49 no.3
    • /
    • pp.251-256
    • /
    • 2019
  • Jugular bulb diverticulum is an irregular extension of the jugular bulb into the temporal bone that may be symptomatic or asymptomatic. The jugular bulb has rarely been reported to extend into the occipital condyle; such extension is termed a condylar jugular diverticulum and is characterized as a defect in the occipital condyle contiguous with the jugular bulb. This report details 3 cases of condylar jugular diverticulum. Extension of the jugular bulb into the ipsilateral occipital condyle was noted as an incidental finding on cone-beam computed tomographic (CBCT) images of 3 patients. All 3 patients were asymptomatic, and this finding was unrelated to the initial area of interest. CBCT use is becoming ubiquitous in dentistry, as it allows 3-dimensional evaluation, unlike conventional radiography. Proper interpretation of the entire CBCT is essential, and recognition of the indicators of condylar jugular diverticulum may prevent misdiagnosis of this rare entity.

A Large Epiphrenic Esophageal Diverticulum Communicating with the Left Lower Lobe

  • Lim, Suk Kyung;Cho, Jong Ho
    • Journal of Chest Surgery
    • /
    • v.52 no.1
    • /
    • pp.40-43
    • /
    • 2019
  • Epiphrenic diverticula are known to cause a series of complications. We report the case of a 54-year-old woman who was diagnosed with an epiphrenic diverticulum at a regular checkup in November 2006. Ten years later, she presented with massive hematemesis. Imaging studies revealed an epiphrenic diverticulum measuring 7.8 cm in diameter and a large amount of bleeding inside the diverticulum. Computed tomography showed fistula formation between the diverticulum and the left lower lobe of the lung, leading to the development of a pulmonary abscess. Diverticulectomy and $180^{\circ}$ posterior partial fundoplication were performed transabdominally. The pulmonary abscess was treated with antibiotics alone. She was discharged 16 days after the operation without any complications over 7 months of follow-up.

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

  • Seon, Sang Woo;Jung, Jae hyun;Lee, Eunsang;Lee, Seung Won
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.27 no.2
    • /
    • pp.134-137
    • /
    • 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.

  • PDF

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

  • Kim, Mi Jin;Kim, Jae Young;Sul, Ji Young;Kang, Dae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.9 no.1
    • /
    • pp.75-79
    • /
    • 2006
  • Intussusception is a frequent cause of intestinal obstruction in early childhood and most are idiopathic in origin. In a minority of cases a definite pathological lead point is identified by imaging studying or during surgery. As the pathologic lead point of intussusception, Meckel's diverticulum is the most common lesion. In symptomatic patients, 40~60% of Meckel's diverticulum contain ectopic tissue, with gastric mucosa being far the most common type. A few Meckel's diverticulum contain pancreatic tissue. Combined heterotopic pancreatic and gastric tissues in the Meckel's diverticulum especially causing intussusception is extremely rare. We report the case of 5-year-old girl with an intussusception caused by Meckel's diverticulum containing both heterotopic gastric and pancreatic tissues.

  • PDF

Meckel's Diverticulum Diagnosed in a Child with Suspected Small Bowel Crohn's Disease

  • Kang, Hyun Sik;Lee, Jeong Sub;Hyun, Chang Rim;Jung, In-Ho;Kang, Ki Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.22 no.1
    • /
    • pp.98-104
    • /
    • 2019
  • We report a rare case of Meckel's diverticulum in a boy who initially presented with chronic iron deficiency anemia (IDA) without any history of gastrointestinal (GI) bleeding at 8 years-old. Isolated small bowel Crohn's disease was suspected based on findings of small bowel ulcers on capsule endoscopy. At four years from initial presentation, he developed massive GI bleeding. Abdominal computed tomographic angiography and small bowel series revealed findings suggestive of Meckel's diverticulum. Meckel's diverticulum should be suspected in children with unexplained chronic IDA even in the absence of prominent GI bleeding and negative findings on repetitive Meckel's scans. Moreover, Meckel's diverticulum should be included in the differential diagnosis of isolated small bowel Crohn's disease when the disease is limited to a short segment of the distal small bowel, as ulcers and inflammation may result as a consequence of acid secreted from adjacent heterotopic gastric mucosa constituting the Meckel's diverticulum.