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채병도; 홍경민; 구기범; 서동범; 박경환; 변용선

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자료유형: 학술저널

저자정보: 채병도 (대동병원) 홍경민 (대동병원) 구기범 (대동병원) 서동범 (대동병원) 박경환 (대동병원) 변용선 (대동병원)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.74 No.3

발행연도: 2008.3

수록면: 222 - 227 (6page)

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연구주제

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연구배경

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We present the case report of a 72-year-old female in whom diaphragmatic eventration and secondary gastric volvulus developed 10 years after a left partial pneumonectomy for a bronchiectasis. Eventration of the diaphragm is defined as an abnormal elevation of an intact diaphragm. The abnormally wide subdiaphragmatic space provides the potential for a gastric volvulus, which results from the strong negative intrathoracic pulling force created by the potential subphrenic space and paradoxical movement of the diaphragm. Unless this strong negative force is first eliminated, gastropexy alone will lead to recurrence. Obliteration of the subphrenic space by colonic displacement is a simple and effective way of abolishing this negative subdiaphragmatic pulling force. Treatment of gastric volvulus requires immediate surgical repair to prevent subsequent necrosis and perforation, with surgical correction of the underlying anatomic abnormality being the treatment of choice for gastric volvulus. We experienced a case of gastric volvulus due to diaphragmatic eventration who was treated with colonic displacement.

#Gastric volvulus #Diaphragmatic eventration #Colonic displacement

참고문헌 (27)

참고문헌 신청

1. [단행본] - Hugh B / 2000 / Gastric volvulus and acute gastric dilatation. In: Peter JM, William CW, editors. Oxford Textbook of Surgery. 2nd ed / Oxford University Press : 1335 ~ 1338

2. [단행본] - Cheshire NJ / 1997 / Diverticular, volvulus, superior mesenteric artery syndrome, and foreign bodies. In: Michael JZ, Seymour IS, Harold E, editors. Maingot's Abdominal Operations. 10th ed / Appleton & Lange : 913 ~ 919

3. [학술지(정기간행물)] - Patel NM / 1985 / Chronic gastric volvulus; report of a case and review of literature / Am J Gastroenterol 80 : 170 ~

4. [학술지(정기간행물)] - Cha JS / 1993 / 4 cases of gastric volvulus complicated in diaphragmatic hernia / J Korean Surg Soc 44 : 463 ~ 470

5. [단행본] - Scott MG / 1995 / Stomach. In: John HD, George FS, editors. Surgery a Problem-solving Approach. 2nd ed / Mosby-Year Book : 1268 ~ 1313

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