• 제목/요약/키워드: Esophagus-mediastinum

검색결과 55건 처리시간 0.031초

결핵성 식도천공 수술치험 1예 (Tuberculous Esophageal Perforation -Report of A case-)

  • 박강식
    • Journal of Chest Surgery
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    • 제12권1호
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    • pp.61-66
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    • 1979
  • This is a report of a case of tuberculous esophageal perforation, which was surgically treated.. The patient was 32-year-old Korean female patient, who complained swallowing difficulty for` 4 weeks duration. Esophagogram was shown irregular filling defects in the upper one third of esophagus, about 4 cm in length. It was noticed that a small amount of contrast media was leaked out from the involved area of esophagus into the right mediastinum. It was highly suggested that abscess formation was due to perforation of esophageal cancer. Esophagoscopy revealed no definitive evidence of perforation of esophagus, but punch biopsy specimen of esophageal mucosa was shown acute and chronic inflammatory changes. Operation was performed under impression of esophageal cancer. In the right-sided upper mediastinum, a walnut-sized abscess cavity which was connected with esophagus through a fistulous tract was noted. A portion of cavity submitted for frozen section was shown tuberculous inflammation. The abscess cavity, fistula tract, and involved esophageal wall were removed. The perforated esophagus was closed layer by layer. The tuberculous changes were confirmed by histopathologic examination postoperatively. The postoperative course was uneventful.

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후종격동에 발생한 위식도 낭종 (A Gastroesophageal Cyst in the Posterior Mediastinum; A Report of Case)

  • 신화균
    • Journal of Chest Surgery
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    • 제26권9호
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    • pp.738-742
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    • 1993
  • The gastroesophageal cyst is rare variety of benign developmental cysts in the mediastinum and it arises from sequestrations of nodules of forgut in the developing embryo.The patient was 23 year old man with complaint of right chest pain. Simple chest X-ray and chest CT scan showed a huge homogeneous cystic mass in the posterior mediastinum. The resected cystic mass showed combining of portion of esophagus and stomach. The cyst was confirmed as gastroesophageal cyst.

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기관지성 낭종 2례 치험 보고 (Bronchogenic Cyst, A Report of 2 cases [An Intraesophageal cyst and A Multiloculated cyst])

  • 손동섭
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.800-805
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    • 1985
  • Bronchogenic cysts are a congenital cystic lesion which are usually found within the lung parenchyme or mediastinum. Two cases of bronchogenic cysts were presented and related literatures were reviewed. The first case of bronchogenic cyst was located in the wall of the esophagus. Preoperatively, this case was thought duplication cyst of esophagus, but postoperative microscopic examination showed the tumor was a bronchogenic cyst with respiratory epithelium. The second case had double cysts; one in the superior and posterior mediastinum, the other in the lung parenchyme. The cyst in the mediastinum was extirpated and the other cyst in the lung was removed by right upper lobectomy. Postoperative course were uneventful in both patients.

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Malignant Schwannoma of the Esophagus: A Rare Case Report

  • Mishra, Biswajit;Madhusudhan, Kumble Seetharama;Kilambi, Ragini;Das, Prasenjit;Pal, Sujoy;Srivastava, Deep Narayan
    • Journal of Chest Surgery
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    • 제49권1호
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    • pp.63-66
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    • 2016
  • Neurogenic tumors are the most prevalent tumors of the mediastinum, and schwannomas are the most common type of neurogenic tumor. Primary neurogenic neoplasm of the esophagus is uncommon and malignant schwannoma of the esophagus is extremely rare. We report a case of a 27-year-old female presenting with dysphagia and palpitations who was found to have a lobulated tumor in the mediastinum that was compressing the esophageal lumen. The tumor was successfully treated surgically without recurrence. The final diagnosis, on histopathological examination of the specimen, was malignant schwannoma.

장간막을 이용한 Boerhaave 증후군의 치료 (Surgical Treatment of Boerhaave Syndrome Using Mesentery)

  • 김형준
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.1040-1046
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    • 1990
  • Despite the improved diagnostic and treatment modalities recently introduced for a variety of esophageal disorders, a perforation or leak from the esophagus remains a sources of morbidity and mortality regardless of the cause of leak. After the perforation of esophagus, the contamination of mediastinum and pleural cavity with food, bacteria and corrosive gastric juice leads to sepsis and cardiopulmonary dysfunction. The early diagnosis and early treatment are very important, and the delayed treatment leads to high risk of morbidity and mortality. We experienced one case of esophageal perforation, after forced vomiting in 48 years old male patient. We used omentum on the treatment of ruptured esophagus, and it was successfully managed.

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후천성 양성 식도기관지루 -수술치험 1례- (Surgical Repair of Acquired Benign Esophagobronchial Fistula - A case Report -)

  • 김욱진
    • Journal of Chest Surgery
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    • 제22권3호
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    • pp.510-513
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    • 1989
  • Acquired esophagobronchial fistula is relatively rare disease. Its causes are malignancy of esophagus or bronchus, infection, trauma, and diverticulum of esophagus. Malignant esophagobronchial fistula is more frequent than benign origin. The patient was 21-year-old female and had typical Onos sign. On esophagogram, fistulous tract was identified between esophagus and left lower lobe bronchus. The cause was nonspecific inflammation of mediastinum. The fistulous tract was resected and reinforced by mediastinal pleura. Postoperative course was uneventful.

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상부 종격동 및 식도의 최소 침습적 수술 (Minimally Invasive Surgery in Esophagus and Upper Mediastinum)

  • 강창현
    • 대한기관식도과학회지
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    • 제16권1호
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    • pp.11-15
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    • 2010
  • Minimally invasive surgery (MIS) has several advantages over conventional open surgery. Less pain, less morbidity, early recovery and better cosmetic outcomes are well-known benefits of MIS. However, indications of MIS are highly dependent on the experience of surgeon and the disease status, In the benign diseases with less surgical complexity, MIS can be performed relatively and safely. However. in advanced malignant diseases which require more complex surgical manipulation, the of patients and the principles of oncologic surgery should be considered before the selection of surgical methods, MIS would be performed more and more with aid or technologic advancement. However, long-term result with equivalent oncologic outcomes to open surgery is necessary to be one of standard surgical treatments in thoracic surgery.

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13년간 체류하였던 종격동 이물 (A Case of Retained Foreign Body in the Mediastinum for 13 Years)

  • 이양선;지중민;김정도;조영채
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.3.3-3
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    • 1978
  • 식도이물은 이비인후과 영역에서 흔히 볼 수 있는 것이며 특히 근자에 와서는 유소아에서 식도이물의 대부분은 주화이물이 차지하고 있다. 주화이물은 식도경하에 대부분의 경우 용이하게 제거되나 때로는 여의치 않은 결과를 초래하는 경우도 있다. 최근 본교실에서는 13년간이나 50환 주화 일매가 기관분지의 상부에서 기관과 식도 사이에 개재하면서도 위험한 증상을 초래하지 않고 경과하다가, 본교실에 내방한 16세 소아에서 전신마취하에 관혈적으로 제거란 일례를 경험하였기에 문헌적 고찰을 가하여 보고하는 바이다.

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식도 근육층에 함몰한 기관지성 낭종 - 1예 보고 - (Intramural Bronchogenic Cyst of the Esophagus - A case report -)

  • 강정호;장효준;정원상;김혁;박문향;김영학
    • Journal of Chest Surgery
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    • 제40권7호
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    • pp.520-522
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    • 2007
  • 기관지성 낭종은 일반적으로 폐실질 내 혹은 종격동 내에 발생하는 것으로 알려져 있다. 종격동 내에 위치하는 경우 기관지와 식도 부근에 위치하나 식도에 함몰되어 있는 경우는 매우 드물다. 수술 전에 기관지성 낭종과 식도 낭종을 구분하는 것은 매우 어려워 식도 양성 종양으로 의심하고 수술을 시행하게 된다. 저자들은 우연히 발견된 식도 내 종양이 수술 절제를 통해 기관지성 낭종으로 밝혀져 보고하는 바이다.