다발성 공장 게실 천공으로 인한 급성 복막염
Localized Peritonitis due to Perforation of Multiple Jejunal Diverticula
이봉규, 박성배, 변창규, 고영택, 서동엽, 박동선, 강문자, 이권전,
소속 상세정보
이봉규 ( Lee Bong-Kyu )
국립경찰병원 외과
박성배 ( Park Sung-Bae )
국립경찰병원 외과
변창규 ( Byun Chang-Kyu )
국립경찰병원 외과
고영택 ( Koh Young-Taek )
국립경찰병원 외과
서동엽 ( Seo Dong-Yup )
국립경찰병원 외과
박동선 ( Park Dong-Sun )
국립경찰병원 일반외과
강문자 ( Kang Mun-Ja )
국립경찰병원 해부병리과
이권전 ( Lee Kwon-Jeon )
국립경찰병원 내과
KMID : 0371320040670010075
Abstract
We report the case of a 77-year-old woman who presented with periumbilical pain from perforation of jejunal diverticula. The patient underwent surgery and multiple jejunal diverticula were found distributed from 30 cm to 60 cm distal to the ligament of Treitz. A segment of the jejunum containing all diverticula was resected and end-to-end anastomosis was performed. The postoperative course was uneventful. The patient continued to do well at last follow-up, 26 months after operation. Diverticulum of the jejunum is uncommon and the majority of patients are asymptomatic. Symptoms indicating diverticulum are few and often nonspecific; they may present either as generalized abdominal pain associated with intestinal disturbances or in more serious case, they can lead to complications requiring emergency surgery. In light of these considerations, we thought it useful to report a case of complicated multiple jejunal diverticula and draw attention to its complications that can be a source of gastrointestinal symptoms.
키워드
공장 게실; 천공; 합병증; Jejunal diverticulum; Perforation; Complication
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