๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #14

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Female
์ง€์‹œ์‚ฌํ•ญ: ๋ณตํ†ต ๋ฐ ๋ณต๋ถ€ ํŒฝ๋งŒ

์ฆ๋ก€ #14

๊ฒฐ๊ณผ

ํ•˜๋ถ€ ํ‰๋ถ€

  • ์†Œํ˜• ์—ด๊ณต ํƒˆ์žฅ
  • ์†Œ๋Ÿ‰ ์‹ฌ๋‚ญ ์‚ผ์ถœ
  • ํ‰๋ง‰ ๊ธฐ๋ฐ˜ 5 mm ์ขŒํ•˜์—ฝ ํ๊ฒฐ์ ˆ
  • ๊ฒฝ๋„์˜ ์–‘์ธก ํ•˜์—ฝ ๋ฐ ์„ค์ƒ์—ฝ ๋ฐ˜ํ”/๋ฌด๊ธฐํ

๋ณต๋ถ€/๊ณจ๋ฐ˜

  • ๋šœ๋ ทํ•œ ์ดํ–‰๋Œ€ ๋˜๋Š” ๋ฒฝ ๋น„ํ›„ ์—†์ด ์ง๊ฒฝ ์ตœ๋Œ€ 9.7 cm๊นŒ์ง€์˜ ํ˜„์ €ํ•œ ๋ฏธ๋งŒ์„ฑ ๊ฒฐ์žฅ ํŒฝ๋งŒ
  • ์†Œ์žฅ์€ ์ •์ƒ ๊ตฌ๊ฒฝ
  • ๋ฏธ๋งŒ์„ฑ ์ทŒ์žฅ ์œ„์ถ•
  • ๋šœ๋ ทํ•œ ๊ฒฐ์ ˆ ์—†๋Š” ์ขŒ์ธก ๋ถ€์‹ ์˜ ๋ถ€์‹ ํ˜• ๋น„ํ›„
  • ์ขŒ์ธก ์‹ ์žฅ ์ƒ๊ทน ๋‚ด์ธก์—์„œ ๊ธฐ์›ํ•˜๋Š” 1.5 cm ์ค‘๊ฐ„ ์Œ์˜์˜ ์™ธ์„ฑ ๋ณ‘๋ณ€
  • ๋™๋งฅ๋ฅ˜ ์—†์ด ๋ณต๋ถ€ ๋Œ€๋™๋งฅ ๋ฐ ๋ถ„์ง€ ํ˜ˆ๊ด€์˜ ์ฃฝ์ƒ๊ฒฝํ™”์„ฑ ์„ํšŒํ™”
  • Foley ์นดํ…Œํ„ฐ ์ฃผ์œ„๋กœ ๊ฐ์••๋œ ๋ฐฉ๊ด‘

๊ทผ๊ณจ๊ฒฉ๊ณ„

  • ๊ธ‰์„ฑ ๊ณจ ์†Œ๊ฒฌ ์—†์Œ
  • ๋‹ค๊ด€์ ˆ ํ‡ดํ–‰์„ฑ ๋ณ€ํ™”
  • ๊ฒฝ๋„์˜ ์ฒด๋ฒฝ ๋ถ€์ข…

์ง„๋‹จ

Ogilvie ์ฆํ›„๊ตฐ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์ดํ–‰๋Œ€๋‚˜ ํ์ƒ‰์„ฑ ์ข…๊ดด ์—†์ด ํ˜„์ €ํ•œ ๋ฏธ๋งŒ์„ฑ ๊ฒฐ์žฅ ํŒฝ๋งŒ์œผ๋กœ, ๊ฒฐ์žฅ ๊ฐ€์„ฑ ํ์ƒ‰ (Ogilvie ์ฆํ›„๊ตฐ)์„ ์ฃผ๋กœ ์‹œ์‚ฌํ•จ. ์ดํ–‰๋Œ€์˜ ๋ถ€์žฌ๋กœ ๋Œ€์žฅ ํ์ƒ‰์€ ๋งค์šฐ ๊ฐ€๋Šฅ์„ฑ์ด ๋‚ฎ์Œ.

๋น„์‘๊ธ‰ ์‹ ์žฅ ์ดˆ์ŒํŒŒ๋ฅผ ๊ถŒ์žฅํ•˜๋Š” ๋ถˆํ™•์ • ์ขŒ์ธก ์ƒ๊ทน ์‹ ์žฅ ๋ณ‘๋ณ€.

5 mm ์ขŒํ•˜์—ฝ ํ๊ฒฐ์ ˆ. ํ™˜์ž๊ฐ€ ํ ์•…์„ฑ์ข…์–‘์˜ ์œ„ํ—˜์ด ๋†’์€ ๊ฒฝ์šฐ 12๊ฐœ์›” ์ถ”์  ํ‰๋ถ€ CT๋ฅผ ๊ณ ๋ ค.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Jaffe T, Thompson WM. Large-bowel obstruction in the adult: Classic radiographic and CT findings, etiology, and mimics.ย Radiologyย 2015;ย 275: 651-663.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.