신생아에서 발견된 충수제대누공
Neonatal Appendicoumbilical Fistula
김경종, 조상혁, 장정환,
소속 상세정보
김경종 ( Kim Kyung-Jong )
조선대학교 의과대학 외과학교실
조상혁 ( Jo Sang-Hyuk )
조선대학교 의과대학 외과학교실
장정환 ( Jang Jeong-Hwan )
조선대학교 의과대학 외과학교실
KMID : 0371320040660030256
Abstract
Umbilical anomalies arie from fetal structures such as the omphalomesenteric duct (OMD) or urachus, or from the failure to closure the umbilical fascial ring. The persistence of OMD may lead to several anomalies including umbilical sinus, umbilical cyst, Meckel´s diverticulum, or patent OMD (POMD). The clinical signs are local swelling, redness, inflammation, umbilical discharge, and bleeding. The passage of the intestinal contents, through the umbilicus i.e., meconeum or gas, implies a fistula to some part of the intestine. A patent omphalomesenteric duct (OMD) is usually associated with the ileum, but rarely with the cecum or appendix. There have only been eight reports of a neonatal appendicoumbilical fistula. Here the authors report a rare and interesting example of an umbilico-appendiceal fistula, and discuss its etiology and treatment.
키워드
개통성 제대장관;충수제대누공;Patent omphalomesenteric duct;Appendicoumbilical fistula
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