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메켈 게실의 장간막게실띠로 유발된 반복적인 소장 폐쇄

A Case of Recurrent Small Bowel Obstruction caused by a Mesodiverticular Band of Meckel Diverticulum

  • 강원찬 (건국대학교 의학전문대학원 건국대학교병원 내과) ;
  • 이윤정 (건국대학교 의학전문대학원 건국대학교병원 내과) ;
  • 김수정 (건국대학교 의학전문대학원 건국대학교병원 내과) ;
  • 권세웅 (건국대학교 의학전문대학원 건국대학교병원 내과) ;
  • 성인경 (건국대학교 의학전문대학원 건국대학교병원 내과) ;
  • 정은주 (건국대학교 의학전문대학원 건국대학교병원 외과) ;
  • 홍성노 (성균관대학교 의과대학 삼성서울병원 내과)
  • Kang, Won Chan (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Lee, Yoon Jeong (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Kim, Soo Jeong (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Kwon, Se Woong (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Seong, In Kyung (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Jeong, Eun Joo (Department of General Surgery, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Hong, Sung Noh (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2014.02.06
  • 심사 : 2014.07.10
  • 발행 : 2014.12.01

초록

저자들은 반복적인 복통을 호소하는 24세 남자 환자에서 복통의 원인을 방사선학적 방법으로 진단하지 못하였으나 단일 풍선 소장내시경에서 폐쇄를 확인하였고 복강경을 통해 메켈 게실 기시부와 연결된 장간막게실띠를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

Meckel diverticulum is the most common congenital anomaly of the gastrointestinal system. Although it is commonly asymptomatic in adults, Meckel diverticulum can lead to intussusception, volvulus, inflammatory adhesions, or an internal hernia. However, small bowel obstruction due to a mesodiverticular band of Meckel diverticulum is rare. We report a case of a 24-year-old man who complained of abdominal pain and vomiting caused by recurrent small bowel obstruction. He had undergone no previous abdominal surgery. Abdominal computed tomography revealed a transition point at the mid-to-distal ileum. To identify the cause of the obstruction, we performed single-balloon enteroscopy, which revealed extrinsic compression at the proximal ileum 100 cm from the ileocecal valve. After marking the obstruction site, subsequent laparoscopy revealed a Meckel diverticulum with a mesodiverticular band, which entrapped a bowel loop and caused the recurrent small bowel obstruction. The patient was treated successfully with laparoscopic diverticulectomy.

키워드

참고문헌

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