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Case Report
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Korean J Med. 2014;86(6):766-769. Published online June 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.6.766
- 지속성 외래 복막투석 환자에서 발생한 흉강 내 그물막 탈장 1예
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최승호1, 오준석1, 정필1, 김한새1, 이강훈1, 김중경1, 박종현2
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1김원묵기념 봉생병원 내과
2김원묵기념 봉생병원 외과
- A Case of Intrathoracic Omental Herniation through the Esophageal Hiatus in a Patient with Continuous Ambulatory Peritoneal Dialysis
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Seung Ho Choi1, Joon Seok Oh1, Peel Jung1, Han Sae Kim1, Kang Hun Lee1, Joong Kyung Kim1, Jong Hyun Park2
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1Departments of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea
2Departments of Surgery, Bong Seng Memorial Hospital, Busan, Korea
- Corresponding author: Joon Seok Oh ,Tel: +82-51-664-4220, Fax: +82-51-664-4229, Email: j-seok@hanmail.net
- Received: July 22, 2013; Revised: September 17, 2013 Accepted: October 1, 2013.
- 복막투석 환자에서 대부분의 탈장은 복강으로 발생하며 위장관의 탈장이 없는 흉강 내 그물막 탈장은 매우 드문 질환이다. 저자들은 복막투석 환자에서 생긴 흉강 내 그물막 탈장을 전산화 단층촬영으로 진단 후 복강경 수술로 치료하여 복막투석을 재개한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :그물막; 틈새탈장; 복막투석; 복강경
- Abstract
- Intrathoracic omental herniation through the esophageal hiatus is extremely rare. Here, we report a case of a 57-year-old male with continuous ambulatory peritoneal dialysis (CAPD) who was admitted to our hospital after experiencing nausea and abdominal discomfort for 3 days. Computed tomography (CT) revealed a fatty mass, extended continuously through the esophageal hiatus into the thoracic cavity. Laparoscopic surgery revealed an omental herniation through the esophageal hiatus. There was no herniation of the stomach or intestines. Peritoneal dialysis was resumed six weeks later. This is a report of omental herniation through the esophageal hiatus in a patient with CAPD. (Korean J Med 2014;86:766-769)
Keywords :Omentum, Hernia, Hiatal, Peritoneal dialysis, Laparoscopy
