대장의 숙변성 천공
Stercoral Perforation of the Colon
한상윤, 김병천, 손태경, 조지웅, 정봉화, 이재정, 정경석, 유종우, 안혜경,
소속 상세정보
한상윤 ( Han Sang-Yoon )
한림대학교 의과대학 외과학교실
김병천 ( Kim Byung-Chun )
한림대학교 의과대학 외과학교실
손태경 ( Son Tae-Kyung )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
정봉화 ( Chung Bong-Hwa )
한림대학교 의과대학 외과학교실
이재정 ( Lee Jae-Jung )
한림대학교 의과대학 외과학교실
정경석 ( Chung Kyung-Suk )
한림대학교 의과대학 외과학교실
유종우 ( Yoo Jong-Woo )
한림대학교 의과대학 병리학교실
안혜경 ( Ahn Hye-Kyung )
한림대학교 의과대학 병리학교실
KMID : 0371320040670050432
Abstract
A stercoral perforation of the colon is a very rare condition, which results from stercoral ulcers due to severe, prolonged constipation, and has a very high mortality rate. Herein is presented four cases of stercoral perforation of the sigmoid colon. All the patients were female. They had long standing and severe constipation, with peritonitis, prior to admission. Plain chest or abdominal X-rays revealed the presence of abdominal free air in all cases, and so emergent operations were undertaken. Fecalomas were found in the colon or abdominal cavity, with round and spherical shaped perforated sites. Microscopically, the edges of the ulcers were compressed with the accumulation of lymphocytes. A resection of the perforated colon with a proximal colostomy was performed in one case, a primary closure of the perforated colon and a proximal colostomy in another and a Hartmann’s colostomy in the remaining two cases. (J Korean Surg Soc 2004;67:432-436)
키워드
숙변성 천공; 대장; 만성 변비; Stercoral perforation; Colon; Chronic constipation
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