멕켈씨 게실에 의한 장폐색증의 복강경적 치료

• Published in: Annals of surgical treatment and research Vol. 71; no. 5; pp. 379 - 382
• Main Authors: 김영균(Young Kyun Kim), 최호중(Ho Joong Choi), 박정현(Jung Hyun Park), 송교영(Kyo Young Song), 박조현(Cho Hyun Park)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.11.2006
• Subjects: 일반외과학; Intestinal obstruction; 장폐색; Laparoscopy; Meckel’s diverticulum; 멕켈씨 게실; 복강경
• ISSN: 2288-6575; 2288-6796

Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract with an incidence of 2% for the general population, and it is one of the frequent causes of small bowel obstruction in young population. A 30-year-old male and a 20-year-old female presented with a short history of wide spread abdominal pain and distension. Radiologic studies revealed severe partial small bowel obstruction. Diagnostic laparoscopy was performed and the small bowel obstruction was observed to result from Meckel's diverticulum. The adhesive bands between Meckel's diverticulum and the mesentery of the ileum were lysed and the diverticulum was resected with an Endo-GIA stapler. The patients were discharged without complications and they tolerated a regular diet. Laparoscopy is a useful diagnostic and therapeutic tool for the younger patients showing small bowel obstruction with an unclear etiology. (J Korean Surg Soc 2006;71:379-382) KCI Citation Count: 0