점막하 종양으로 오인된 우측 대동맥궁과 동반된 Kommerell 게실에 의한 식도압박 1예
A Case of Esophageal Compression by a Right-sided Aortic Arch and Kommerell’s Diverticulum Mimicking an Esophageal Submucosal Tumor
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초록
우측 대동맥궁과 태생기의 좌측 배부 대동맥 잔유물인 Kommerell 게실은 드물게 발견되는 선천성 심혈관 기형이다. 대부분의 경우 증상이 없으나, 종격동 구조물을 압박하거나 선천성 심장기형이 동반되면 증상이 발현된다. 때로는 동맥류 파열로 사망할 수도 있다. 저자들은 10년간 큰 음식 덩어리 연하시 상부 흉골부의 경미한 음식물 정체감을 호소한 환자에서 식도의 점막하종양으로 오인하였던 우측 대동맥궁과 동반된 Kommerell 게실에 의한 식도압박 1예를 경험하여 보고한다.
Abstract
A right-sided aortic arch and Kommerell’s diverticulum, remnants of the left dorsal aortic arch in the circulation of the embryo, are uncommon congenital defects of the aorta. They may be asymptomatic in most cases, but symptoms are manifested by compressing mediastinal structures or are related to congenital heart anomalies. If aneurismal dilatation of the diverticulum presents with rupture, it is lethal. We report a case of esophageal compression by a right-sided aortic arch and Kommerell’s diverticulum that mimicked an esophageal submucosal tumor in a patient who complained of symptoms during the past ten years of food retention in the upper thorax when a bolus of food was ingested.
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