십이지장 주위 탈장
Paraduodenal Hernia
안상훈, 김지수, 장혁재, 조용필, 김용호, 김승용, 정승문, 한명식,
소속 상세정보
안상훈 ( Ahn Sang-Hoon )
울산대학교 의과대학 강릉아산병원 외과학교실
김지수 ( Kim Ji-Su )
아산재단 강릉병원 외과학교실
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과학교실
김승용 ( Kim Seung-Yong )
울산대학교 의과대학 강릉아산병원 내과학교실
정승문 ( Jung Seung-Mun )
울산대학교 의과대학 강릉아산병원 진단방사선과
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320020620040348
Abstract
Paraduodenal hernia is a rare congenital anomaly caused by abnormal rotation
of the midgut in embryonic stage, with part of the small intestine becoming
trapped posterior to the mesocolon. Right and left paraduodenal hernias are
distinct and separate entities, varying not only in anatomical structure but
also in embryological origin. Paraduodenal hernia is a rare cause of acute
intestinal obstruction. Careful clinical evaluation is needed for prompt
surgical treatment. Because it is difficult to diagnose before exploration,
and since paraduodenal hernia may cause potentially lethal complications
such as obstruction, gangrene or bowel perforation, the possibility of
internal hernia should be considered in any patient with acute intestinal
obstruction who has no previous abdominal operation or external hernia. If
paraduodenal hernia is suspected to be the cause of acute intestinal
obstruction, the recommended tool for diagnosis is abdominal computed
tomography. We experienced three cases of paraduodenal hernia, one case was
right paraduodenal hernia while the others were left paraduodenal hernia.
키워드
십이지장주위 탈장; Paraduodenal hernia;
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