신생아에서 멕켈게실에 의해 유발된 장중첩증 1례

A Case of Intussusception Caused by Meckel's Diverticulum in a Newborn

  • 유승택 (원광대학교 의과대학 소아과학교실) ;
  • 오연균 (원광대학교 의과대학 소아과학교실) ;
  • 박원철 (원광대학교 의과대학 외과학교실) ;
  • 김은아 (원광대학교 의과대학 진단방사선과학교실) ;
  • 이창우 (원광대학교 의과대학 소아과학교실) ;
  • 윤향석 (원광대학교 의과대학 소아과학교실)
  • Yu, Seung Taek (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Oh, Yeon Kyun (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Park, Won Churl (Department of General Surgery, Wonkwang University School of Medicine) ;
  • Kim, Eun A (Department of Radiology, Wonkwang University School of Medicine) ;
  • Lee, Chang Woo (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Yoon, Hyang Suk (Department of Pediatrics, Wonkwang University School of Medicine)
  • 투고 : 2005.04.09
  • 심사 : 2005.06.03
  • 발행 : 2005.08.15

초록

신생아에서 멕켈게실에 의한 장중첩증으로 장폐쇄를 유발한 경우는 매우 드물다. 신생아기에 장폐쇄의 원인으로 장중첩증은 장폐쇄의 원인 중 단지 3%, 멕켈게실은 0.3% 정도만이 보고되었다. 저자들은 출생 수시간 후부터 담즙성 구토를 보인 신생아에서 복부 초음파, 대장소영술 및 복부 전산화단층촬영상에서도 확진하지 못하고 시험적 개복술을 시행하여 비로소 확인된 태생기에 발생한 멕켈게실에 의한 장중첩증 1례를 경험하였기에 보고하는 바이다.

Intussusception and Meckel's diverticulum are very rare disorders in intrauterine or neonatal periods, which are causes of intestinal obstruction. We experienced a case of intussusception due to Meckel's diverticulum which caused intestinal obstruction in the neonate who had bilious vomiting a few hours after birth. We report this case with a brief review of the literature.

키워드

과제정보

연구 과제 주관 기관 : Wonkwang University

참고문헌

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