선천성 우측 결장간막 탈장을 동반한 천공성 맹장 게실염
Perforated Cecal Diverticulitis with Right Mesocolic Hernia
최승혜, 성준경, 박종경, 윤상섭, 이성,
소속 상세정보
최승혜 ( Choi Seung-Hye )
가톨릭대학교 의과대학 성바오로병원 외과학교실
성준경 ( Sung Joon-Kyoung )
가톨릭대학교 의과대학 성바오로병원 외과학교실
박종경 ( Park Jong-Kyung )
가톨릭대학교 의과대학 성바오로병원 외과학교실
윤상섭 ( Yun Sang-Seob )
가톨릭대학교 의과대학 성바오로병원 외과학교실
이성 ( Lee Sung )
가톨릭대학교 의과대학 성바오로병원 외과학교실
KMID : 0371320030640040353
Abstract
Mesocolic hernias are rare congenital anormalies resulting from abnormalities in the intestinal rotation during embryonic development, and comprise approximately 53% of all congenital internal hernias. A right mesocolic hernia is formed by the arrest of further rotation of the prearterial segment of gut in the right side of the abdomen, with continued rotation of the postarterial segment, during the second stage of embryonic intestinal rotation, leading to the entrapment of almost the entire small bowel behind the right colonic mesentery. The condition may be discovered incidentally during at laparotomy, or may be the cause of an acute small bowel obstruction. Cecal diverticulitis is a rare disease, whose symptoms are similar to acute appendicitis. It is difficult to diagnose the two diseases accurately prior to operation. We report on a 48-year old man, who had perforated cecal diverticulitis and an incidental right mesocolic hernia, with a review of the literature.
키워드
결장간막 탈장;복강내 탈장;맹장 게실염
Mesocolic hernia;Internal hernia;Cecal diverticulitis
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