에스 결장 염전을 동반한 특발성 거대결장 1예
A Case of Idiopathic Megacolon Associated with Sigmoid Volvulus
염주진, 최지훈, 김지웅, 김상욱, 김태현, 최석채, 이정균, 윤기중, 나용호,
소속 상세정보
염주진 ( Yeom Joo-Jin )
원광대학교 의과대학 내과학교실
최지훈 ( Choi Ji-Hun )
원광대학교 의과대학 내과학교실
김지웅 ( Kim Ji-Woong )
원광대학교 의과대학 내과학교실 소화기병연구소
김상욱 ( Kim Sang-Wook )
원광대학교 의과대학 내과학교실
김태현 ( Kim Tae-Hyeon )
원광대학교 의과대학 내과학교실
최석채 ( Choi Suck-Chei )
원광대학교 의과대학 내과학교실
이정균 ( Lee Jeong-Kyun )
원광대학교 의과대학 외과학교실
윤기중 ( Yun Ki-Jung )
원광대학교 의과대학 병리학교실
나용호 ( Nah Yong-Ho )
원광대학교 의과대학 내과학교실
KMID : 0356720020180020133
Abstract
Megacolon is an uncommon condition in which the bowel is persistently of increased diameter and it is always associated with long-standing constipation. Two main groups are recognized according to whether or not ganglia are present in the intermuscular plane of the rectal wall. Their complete absence, even along a short segment of rectum, denotes Hirschspurung’s disease. If ganglia are present, the dilated bowel may be secondary to some predisposing factor such as a stricture, a congenital anorectal abnormality, a cauda equina lesion etc. In other instances, however, there may be no apparent organic reason as to why the bowel should be so dilated. This latter condition is termed ’idiopathic megacolon’. We report the case of one female patient with idiopathic megacolon. During medical treatment, she was complicated with a sigmoid volvulus, we performed subtotal colectomy and cecorectal anastomosis and she improved without any complication.
키워드
특발성 거대 결장;에스 결장 염전
Idiopathic megacolon;Sigmoid volvulus
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