인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
A 97-year-old woman with thoracic kyphosis was brought to our hospital on several occasions with respiratory distress, though the cause could not be clarified for the long term.The ambulance crew noted respiratory status based on effort ventilation with oxygen saturation of 50%, with the respiratory condition relieved soon after arrival.Following another respiratory distress incident 1 month later, CT findings showed entry of both the transverse colon and entire stomach into the thoracic cavity (Figure A, arrow: colon).The compression of the stomach by the transverse colon had caused obstruction to the passage of the esophagus.As a result, the esophagus was extremely dilated, which was followed by tracheal compression (Figure B, arrows: trachea).After resolution of respiratory symptoms, CT indicated that the transverse colon had exited the thoracic cavity, with no compression of the stomach (Figure C, arrow: stomach) or trachea observed (Figure D, arrows: trachea).Thus, respiratory distress caused by herniation of the transverse colon was confirmed.An effect of kyphosis was suggested to be increased abdominal pressure, resulting in creeping of the transverse colon into the thoracic cavity.When a hiatal hernia involves the transverse colon, intrusion into the thoracic cavity usually remains.Presented here is an extremely rare case, with movements into and out of the thoracic cavity easily repeated making it difficult to determine the pathogenesis.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.