십이지장주위탈장의 임상적 경험
Paraduodenal Hernia
우시욱, 윤대근, 강희준, 전성은, 박성길, 이재정,
소속 상세정보
우시욱 ( Woo Si-Uk )
한림대학교 의과대학 한강성심병원 외과학교실
윤대근 ( Yoon Dae-Kun )
한림대학교 의과대학 한강성심병원 외과
강희준 ( Kang Hee-Jun )
한림대학교 의과대학 한강성심병원 외과
전성은 ( Chon Sung-Eun )
한림대학교 의과대학 한강성심병원 외과
박성길 ( Park Sung-Gil )
한림대학교 의과대학 한강성심병원 외과학교실
이재정 ( Lee Jae-Jung )
한림대학교 의과대학 한강성심병원 외과
KMID : 0371320040660040347
Abstract
Internal abdominal hernias are an unusual cause of intestinal occlusion. They are responsible for 2% of all the intestinal obstructions. Various types of hernia have been described. Paraduodenal hernias are relatively rare congenital malformations and result from incomplete rotation of the midgut with entrapment of the small intestine beneath the developing colon. We report a case of paraduodenal hernia of the small intestine in a 32-year-old man with presentation of intestinal obstruction. The patient suffered from nausea, vomiting and acute abdominal pain for 9 hours. Abdominal CT showed sac-like mass of clustered, dilatated small bowel in the right upper quadrant. At operation, herniation of small intestine into a retroperitoneal space through a defect on right mesocolon was noted. A right paraduodenal (mesocolic) hernia was diagnosed. The patient made an uneventful recovery except some diarrhea after extensive segmental resectio of strangulated small bowel. Paraduodenal hernia is important as it usually presents as intestinal obstruction, and is often misdiagnosed before laparotomy. Mortality is increased significantly with delays in surgical treatment. Though rare, paraduodenal hernia should be taken into account in a differential diagnosis of intestinal obstruction. Early surgical intervention allows uneventful recovery and also prevents the possible complication of gangrenous bowels.
키워드
십이지장주위탈장;결장간막탈장;장폐색;급성 복증;Paraduodenal hernia;Mesocolic hernia;Intestinal obstruction;Acute abdomen
원문 및 링크아웃 정보
등재저널 정보