복부 전산화단층촬영으로 진단한 맹장염전 1예
A Case of Cecal Volvulus Diagnosed with Abdominal Computed Tomography
황대준, 김태화, 조지웅, 이해완, 류병윤, 김홍기, 김봉수,
소속 상세정보
황대준 ( Hwang Dae-Joon )
한림대학교 의과대학 외과학교실
김태화 ( Kim Tae-Hwa )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
이해완 ( Lee Hae-Wan )
한림대학교 의과대학 외과학교실
류병윤 ( Ryu Byoung-Yoon )
한림대학교 의과대학 외과학교실
김홍기 ( Kim Hong-Ki )
한림대학교 의과대학 외과학교실
김봉수 ( Kim Bong-Su )
한림대학교 의과대학 방사선과학교실
KMID : 0356720030190010048
Abstract
Cecal volvulus is a rare disease of the colon, which occurs in less than 2% of adult intestinal obstruction cases. Precipitating factors can be identified in some patients, including adhesions, a recent abdominal operation, congenital bands, pregnancy, violent exercise, malrotation, obstructing lesions of the left colon and colonoscopy, etc. A right colectomy is a definitive treatment for the best long term control of symptoms, and is the treatment of choice when gangrenous changes are present in the bowel. However, in the presence of viable bowel, the preferred treatment is a controversial matter, with options including; detorsion, cecopexy and cecostomy, etc. We experienced a case of cecal vovulus, which had been treated for COPD at ICU. A diagnosis was made with abdominal computed tomography, and a right hemicolectomy was performed.
키워드
맹장 염전;대장절제
Cecal volvulus;Colon Resection
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