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충수염으로 인한 충수-에스상결장루 1예

Appendico-Sigmoid Fistula Due to Appendicitis

대한대장항문학회지 2004년 20권 4호 p.225 ~ 227
김선우 ( Kim Seon-Woo ) - 고신대학교 의과대학 외과학교실

안병권 ( Ahn Byung-Kwon ) - 고신대학교 의과대학 외과학교실
박형석 ( Park Hyung-Seok ) - 고신대학교 의과대학 외과학교실
이승현 ( Lee Seung-Hyun ) - 고신대학교 의과대학 외과학교실
백승언 ( Baek Sung-Uhn ) - 고신대학교 의과대학 외과학교실

Abstract


An appendico-sigmoid fistula is a rare entity that has seldom been reported in the literature. In review articles, there are only several reports of appendiceal fistulas, including two into the ileum, two into the ascending colon, two into the sigmoid colon, and one into the Meckel’s diverticulum. Presumably, these cases were caused primarily by antecedent appendicitis and diverticulitis. We experienced a case of an appendico-sigmoid fistula due to appendicitis. A 42-year-old man was admitted with complaints of low abdominal pain, distension, and a chilling sense for 1 month. On physical examination, the patient had right low-quadrant abdominal tenderness and rebound tenderness. However, the patient had no fever, and the WBC count was 8,900/mm3. On colonoscopy and barium study, the patient was diagnosed as having an appendico-sigmoid fistula due to appendicitis. An appendectomy and segmental resection of the sigmoid colon was done. J Korean Soc Coloproctol 2004;20:225-227

키워드

충수-에스상결장루; 충수염
Appendico-sigmoid fistula;Appendicitis
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