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[ColonTODAY 113. Sigmoid colon perforation]

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°í·É ¿©¼ºÀÔ´Ï´Ù. °©ÀÛ½º·± ÇϺ¹ºÎ ÅëÁõ°ú ±¸¿ª, ±¸Åä·Î ÀÀ±Þ½Ç ³»¿øÇÏ¿´½À´Ï´Ù. CT¿¡¼­ pneumoperiteumÀÌ °üÂûµÇ¾ú´Âµ¥ º´¼Ò À§Ä¡°¡ ¶Ñ·ÇÇÏÁö ¾Ê¾Ò½À´Ï´Ù.

±×·¯³ª "presacral area¿¡ °ø±â À½¿µÀÌ ÀÖ´Â Á¡, sigmoid °Ô½ÇÀÌ ¸¹¾Ò´ø Á¡, peritonitis°¡ ÇϺ¹ºÎ¿¡ ÁýÁßµÈ Á¡À¸·Î sigmoid °Ô½Ç õ°øÀÌ ¿µ»óÇÐÀûÀ¸·Î °¡Àå ÀǽÉ"µÇ¾ú½À´Ï´Ù. Surgical explorationÀ» ÇÏ¿´½À´Ï´Ù. Sigmoid diverticulum perforationÀÌ È®ÀεǾú½À´Ï´Ù.

ÇØ´çºÎÀ§ ÀýÁ¦¼ú ÇÏ¿´°í soiling ½ÉÇÏ¿© Hartmann ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù.


[References]

1) EsoTODAY - ½ÊÀÌÁöÀåÁúȯ Áõ·ÊÅäÀÇ

2) SmallTODAY - ¼ÒÀåÁúȯ Áõ·ÊÅäÀÇ

3) ColonTODAY - ´ëÀåÁúȯ Áõ·ÊÅäÀÇ

4) Dr. Sinn's LiverTODAY - °£Áúȯ Áõ·ÊÅäÀÇ

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-10-5)