• Title/Summary/Keyword: diverticulum

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

  • Yang, Tae-Bong;O, Bong-Seok;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.21 no.5
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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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Bronchogenic cyst combined with pericardial diverticulum: a case report (심막 계실을 동반한 기관지성 낭종 1례 보)

  • 황윤호
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.321-325
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    • 1984
  • Bronchogenic cyst and pericardial diverticulum are relatively infrequent respectively, but they have been detected more commonly with the increasing popularity of the routine and mass survey examination of the chest. A 31 year-old male was admitted for the evaluation of productive cough and two mass lesions in left side on the chest films and bronchogram. Exploratory thoractomy revealed pericardial diverticulum and bronchogenic cyst, which were confirmed by pathologic examination. We are willing to report this combined case which was treated uneventfully by left lower lobectomy and diverticulectomy.

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

  • Seong, Suk-Hwan;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.15 no.3
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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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Congenital Left Ventricular Diverticulum (선천성 좌심실 게실 1례)

  • Kim, Jong-Young;Kim, Jung-Ho;Jun, Jin-Gon
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.181-187
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    • 1990
  • Congenital diverticulosis of the left ventricle is an extremely rare maldevelopment. We report a 9 year old girl with probable isolated left ventricular diverticulum in whom the diagnosis was made by cross sectional echocardiography and by angiography.

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A Case of Killian-Jamieson Diverticulum Simulating Thyroid Mass (갑상선 종물로 오인된 Killian-Jamieson 게실 1예)

  • Chu Hyung-Ro;Lee Jong-Sun;Han Dong-Hyuk;Jin Jae-Won
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.1
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    • pp.33-35
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    • 2006
  • Killian-Jamieson and Zenker diverticula are both rare pharyngoesophageal diverticula. Both are outpouching of the mucosal and submucosal layers of the esophageal wall, which protrude through a mucosal gap at the level of the pharyngoesophageal esophagus. When these diverticula are large enough, they can be in proximity to the thyroid gland and may mimic a thyroid nodule. We report a case in which a diverticulum was filled with dietary residue and thus simulated a thyroid cyst on CT scan. And it was finally diagnosed as a Killian-Jamieson diverticulum by the surgery.

A Traction Diverticulum of the Esophagus Complicated with Empyema After Pneumonectomy (폐절제후 농흉에 합병한 견인성 중부식도게실의 치험례)

  • 권중혁
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.359-363
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    • 1978
  • This is a case report of surgically treated esophageal traction diverticulum which was resulted from postpneumonectomy empyema. In March, 1976, left lower lobectomy and thoracoplasty were performed at a hospital to treat long standing lung abscess, after operation it developed into empyema. One year later [April, 1977], We did decortication and left upper lobectomy[ultimate pneumonectomy], which was followed by empyema again, 3 months later it developed esophagopleurocutaneous fistula. Esophagograms bowed an adult thumb tip sized traction diverticulum in the midportion of the esophagus. Finally in January, 1978, after 6 months of gastrostomy feeding, fistulectomy and diverticulectomy were performed The funnel shaped diverticulum was in midesophagus and retracted by surrounding inflammatory scar tissue. Now the postoperative course was uneventful.

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Laparoscopic Meckel's Diverticulectomy in Children (소아에서 복강경을 이용한 메켈씨 게실 절제술)

  • Han, Seok-Joo;Kim, Jun-Young;Huh, Jeong-Wook;Han, Ai-Ri;Hwang, Eui-Ho
    • Advances in pediatric surgery
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    • v.7 no.2
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    • pp.157-161
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    • 2001
  • Meckel's diverticulum is one of the common causes of gastrointestinal bleeding in the pediatric patient requiring laparotomy. Two children with Meckel's diverticulum have been successfully treated by laparoscopic excision. Both patients recovered without incident and were discharged at 3 and 5 days after surgery. The authors believe that laparoscopic diverticulectomy is a safe, effective. and minimal invasive treatment of Meckel's diverticulum in children.

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Alanine Aminotransferase in Amphioxus: Presence, Localization and Up-regulation after Acute Lipopolysaccharide Exposure

  • Lun, Li-Min;Zhang, Shi-Cui;Liang, Yu-Jun
    • BMB Reports
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    • v.39 no.5
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    • pp.511-515
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    • 2006
  • Alanine aminotransferase (AAT) is mainly synthesized in the liver, and its level in mammalian serum is elevated after acute phase induction. Here we demonstrated that sheep anti-human AAT antibody cross-reacted with amphioxus humoral fluids as well as human serum; and the concentration of AAT in the humoral fluids in amphioxus increased after the acute challenge with lipopolysaccharide, while the level of total proteins remains unchanged. These suggest the presence of the same acute phase response pattern in amphioxus, as observed in some mammalian species. Immunohistochemically, AAT was localized in the hepatic diverticulum, ovary and testis. It appears that the hepatic diverticulum in amphioxus is functionally homologous to the vertebrate liver in respect of AAT synthesis, supporting the hypothesis that the vertebrate liver evolved from the hepatic diverticulum of an amphioxus-like ancestor during early chordate evolution.

A clinical evaluation of surgical treatment of esophageal diverticulum (식도게실의 외과적 치료에 대한 임상적 고찰)

  • Kim, Geun-Ho;Kim, Yeong-Hak
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.141-145
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    • 1989
  • This is a report of 12 cases of esophageal diverticulum treated surgically at the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the 16 years. 10 patients were female and 2 were male and the age distribution was between 31 and 61 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The type of esophageal diverticulum were pulsion type in 11 cases and traction type in one case, and they were all located on the mid-thoracic esophagus, but one case was associated with epiphrenic pulsion diverticulum After diverticulectomy with or without myotomy, subjective symptoms disappeared and there were no operative complications and mortality. Indication of myotomy evaluated with motilities status by fluoroscopic finding of X-ray barium study. Recurrence of symptoms was not noticed during follow-up.

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Synchronous ileal inflammatory fibroid polyp and Meckel's diverticulum found during laparoscopic surgery for adult intussusception

  • Kang, Sung Il;Gu, Mi Jin
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.226-229
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    • 2020
  • We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel's diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel's diverticulum with ectopic pancreatic tissue.