The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Intrathoracic Omental Herniation through the Esophageal Hiatus in a Patient with Continuous Ambulatory Peritoneal Dialysis

지속성 외래 복막투석 환자에서 발생한 흉강 내 그물막 탈장 1예

  • Choi, Seung Ho (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Oh, Joon Seok (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Jung, Peel (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Kim, Han Sae (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Lee, Kang Hun (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Kim, Joong Kyung (Department of Internal Medicine, Bong Seng Memorial Hospital) ;
  • Park, Jong Hyun (Department of Surgery, Bong Seng Memorial Hospital)
  • 최승호 (김원묵기념 봉생병원 내과) ;
  • 오준석 (김원묵기념 봉생병원 내과) ;
  • 정필 (김원묵기념 봉생병원 내과) ;
  • 김한새 (김원묵기념 봉생병원 내과) ;
  • 이강훈 (김원묵기념 봉생병원 내과) ;
  • 김중경 (김원묵기념 봉생병원 내과) ;
  • 박종현 (김원묵기념 봉생병원 외과)
  • Received : 2013.07.22
  • Accepted : 2013.10.01
  • Published : 2014.06.01
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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.

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.

Keywords

References

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