지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.3
- 수록면
- 195 - 198 (4page)
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초록· 키워드
오류제보하기
Paraesophageal hernias are usually classified into three distinct types: type Ⅰ, sliding hernias; type Ⅱ, paraesophageal hernias; type Ⅲ, a combination of type Ⅰ and Ⅱ. Herniation of other abdominal organs can be classified as type Ⅳ, and is a rare situation at the esophageal hiatus. We report herein a 73-year-old female patient who presented with epigastric pain and diagnosed as type Ⅳ paraesophageal hernia. Initial evaluation was focused on myocardial ischemia. There was no evidence of myocardial ischemia in the coronary angiography, but follow-up chest X-ray revealed air-fluid levels in the left mediastinum suggested hiatal hernia. On computed tomography, herniation and strangulation of proximal jejunum into the hemithorax via left diaphragmatic defect was found. After reduction of small bowel and resection of strangulated segment, the defect was closed. Fluid collection in the hernia sac was detected at postoperative day nine, but she was discharged without complication.
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REFERENCES
참고문헌 (8)
참고문헌 신청
2. [학술지(정기간행물)] - Kim KC / 1996 / A case of paraesophageal hernia repaired by laparoscopic approach / Yonsei Med J 37 : 151 ~ 157
3. [학술지(정기간행물)] - Itano H / 2008 / Transthoracic Collis-Nissen repair for massive type IV paraesophageal hernia / Gen Thorac Cardiovasc Surg 56 : 446 ~ 450
4. [학술지(정기간행물)] - Kahrilas PJ / 2008 / Approaches to the diagnosis and grading of hiatal hernia / Best Pract Res Clin Gastroenterol 22 : 601 ~ 616
5. [학술지(정기간행물)] - Basaklar AC / 2007 / An unusual case: a giant paraesophageal hiatal hernia with intrathoracic spleen, preduodenal portal vein, malrotation, and left inferior vena cava / J Pediatr Surg 42 : e23 ~ 25
6. [학술지(정기간행물)] - Gallimidi Z / 2004 / Liver herniation through gastroesophageal hiatus of diaphragm / Eur J Radiol Extra 51 : 119 ~ 120
3. [학술지(정기간행물)] - Itano H / 2008 / Transthoracic Collis-Nissen repair for massive type IV paraesophageal hernia / Gen Thorac Cardiovasc Surg 56 : 446 ~ 450
4. [학술지(정기간행물)] - Kahrilas PJ / 2008 / Approaches to the diagnosis and grading of hiatal hernia / Best Pract Res Clin Gastroenterol 22 : 601 ~ 616
5. [학술지(정기간행물)] - Basaklar AC / 2007 / An unusual case: a giant paraesophageal hiatal hernia with intrathoracic spleen, preduodenal portal vein, malrotation, and left inferior vena cava / J Pediatr Surg 42 : e23 ~ 25
6. [학술지(정기간행물)] - Gallimidi Z / 2004 / Liver herniation through gastroesophageal hiatus of diaphragm / Eur J Radiol Extra 51 : 119 ~ 120
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UCI(KEPA) : I410-ECN-0101-2013-514-002679783