| 결장내시경으로 관찰한 S상 결장의 우측횡격막 탈장 1예 |
| 송해정·이준성·함정호·이선해·유창범·김진오·조주영·이문성·심찬섭·김재준*·김정훈† |
| 순천향대학교 의과대학 내과학교실, 소화기연구소, *외과학교실, †방사선과학교실 |
| A Case of Right Diaphragmatic Hernia of Sigmoid Colon Showed by Colonoscopy |
| Hae Jung Song, M.D., Joon Seong Lee, M.D., Jeong Ho Ham, M.D., Sun Hae Lee, M.D., Chang Beom Ryu, M.D., Jin Oh Kim, M.D., Joo Young Cho, M.D., Moon Sung Lee, M.D., Chan Sup Shim, M.D., Jae Jun Kim, M.D.* and Jung Hoon Kim, M.D.† |
| Institute for Digestive Research, Digestive Disease Center, Departments of Intinal Medicine, *General Surgery and †Radiology, Soon Chun Hyang University Hospital, Seoul, Korea |
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| Abstract |
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A 53-year-old man complained of constipation and abdominal pain including the right flank area for three days. He had suffered multiple rib and clavicular fractures on the right side 10 years earlier. Colonoscopy was performed to assess the constipation, which showed a twisted constricted lumen in the sigmoid colon or descending colon. Passing through it, the saccular dilated bowel wall demonstrated edematous, erythematous changes in the mucosa with a purplish color and necrosis. The proximal part of the saccular lumen also showed a twisted stricture with necrotic materials. The abdominal CT showed subsegmental atelectasis in the right lung, right pleural effusion and a diaphragmatic hernia of the colon. In addition, multiple dilated bowel loops were observed in the abdomen. The patient underwent emergency surgery with a segmental resection of the sigmoid colon. We report this case of delayed traumatic right diaphragmatic hernia of the sigmoid colon with strangulation, which is extremely rare and was revealed by colonoscopy. (Korean J Gastrointest Endosc 2007;34:227232) |
| Key Words:
Traumatic diaphragmatic hernia, Sigmoid colon |
| 주요어:
외상성 횡격막 탈장, S상 결장 |
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