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이준섭 ( Joon Seop Lee ),김은수 ( Eun Soo Kim ),정민규 ( Min Kyu Jung ),김성국 ( Sung Kook Kim ),진선 ( Sun Jin ),이덕헌 ( Deok Heon Lee ),서준원 ( Jun Won Seo ) 대한소화기학회 2018 대한소화기학회지 Vol.71 No.5
Bochdalek hernia (BH) is defined as herniated abdominal contents appearing throughout the posterolateral segment of the diaphragm. It is usually observed during the prenatal or newborn period. Here, we report a case of an adult patient with herniated omentum and colon due to BH that was discovered during a colonoscopy. A 41-year-old woman was referred to our hospital with severe left chest and abdominal pain that began during a colonoscopy. Her chest radiography showed colonic shadow filling in the lower half of the left thoracic cavity. A computed tomography scan revealed an approximately 6-cm-sized left posterolateral diaphragmatic defect and a herniated omentum in the colon. The patient underwent thoracoscopic surgery, during which, the diaphragmatic defect was closed and herniated omentum was repaired. The patient was discharged without further complications. To the best of our knowledge, this case is the first report of BH in an adult found during a routine colonoscopy screening. (Korean J Gastroenterol 2018;71:290-293)
오탁혁 ( Tak Hyuk Oh ),이상철 ( Sang Cjeol Lee ),이덕헌 ( Deok Heon Lee ),조준용 ( Joon Yong Cho ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
The perforation of a cardiac chamber by a fractured rib after blunt trauma is a rare event. Here, we report the case of patient who was referred for multiple rib fractures after a fall from a height. The patient was found to have a penetrating cardiac injury which was detected on a computed tomography chest scan. Computed tomography is a useful screening tool for victims of blunt chest trauma. Once cardiac perforation has been confirmed or is highly suspected, it is important to preserve the patient’s vital signs until reaching the operating room by minimally manuplating the chest wall and permitting hypotension, which also prevents exsanguinating hemorrhage. For the same reasons, early cardiac tamponade may also improve the patient’s survival. [ J Trauma Inj 2014; 27: 192-5 ]
피하기종의 Vacuum-assisted Closure Therapy
오탁혁 ( Tak Hyuk Oh ),이상철 ( Sang Cjeol Lee ),이덕헌 ( Deok Heon Lee ),조준용 ( Joon Yong Cho ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.4
Subcutaneous emphysema is a benign condition following trauma (pneumothorax and oropharyngeal), cervical or thoracic procedures, and mediastinal infection. However, severe subcutaneous emphysema may be related to serious complications such as respiratory failure, airway compromise, and tension- related phenomena. Many alternative therapies have been tried to treat patients with this condition. We report our experience with vacuum-assisted closure therapy for treating patients with severe subcutaneous emphysema. [ J Trauma Inj 2015; 28: 276-279 ]