Korean J Gastrointest Endosc > Volume 36(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(2): 78-82.
점막하 종양으로 오인된 우측 대동맥궁과 동반된 Kommerell 게실에 의한 식도압박 1예
조영직ㆍ금보라ㆍ김연호ㆍ공휘ㆍ김진남ㆍ김용식ㆍ진윤태ㆍ전훈재ㆍ엄순호ㆍ김창덕ㆍ류호상ㆍ현진해
고려대학교 의과대학 내과학교실, 소화기연구소
A Case of Esophageal Compression by a Right-sided Aortic Arch and Kommerell's Diverticulum Mimicking an Esophageal Submucosal Tumor
Young Jig Cho, M.D., Bora Keum, M.D., Youn Ho Kim, M.D., Hwi Kong, M.D., Jin Nam Kim, M.D., Yong Sik Kim, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Soon Ho Um, M.D., Chang Duck Kim, M.D., Ho Sang Rhu, M.D. and Jin Hai Hyun, M.D.
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
Abstract
A right-sided aortic arch and Kommerell's diverticulum, remnants of the left dorsal aortic arch in the circulation of the embryo, are uncommon congenital defects of the aorta. They may be asymptomatic in most cases, but symptoms are manifested by compressing mediastinal structures or are related to congenital heart anomalies. If aneurismal dilatation of the diverticulum presents with rupture, it is lethal. We report a case of esophageal compression by a right-sided aortic arch and Kommerell's diverticulum that mimicked an esophageal submucosal tumor in a patient who complained of symptoms during the past ten years of food retention in the upper thorax when a bolus of food was ingested. (Korean J Gastrointest Endosc 2008;36: 78-82)
Key Words: Right-sided aortic arch, Kommerell's diverticulum
주요어: 우측 대동맥궁, Kommerell 게실
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