CAJ | 학술논문

目的：鉴别原发性大网膜异位与病理性大网膜移位，丰富临床资料。方法对一具福尔马林处理后的男性尸体进行解剖时，见其腹腔内大网膜未按正常规律下垂至小肠前方，而是上行覆盖至肝面。结合相关文献，通过与两种病理性的大网膜移位对比，因该大网膜光滑、平整，未见包块、粘连，故排除大网膜病变可能，考虑为原发性大网膜异位。再针对其原发性的特点，从成因、诊断、影响等方面进行分析，从而对该罕见变异做出比较全面的描述。结果确诊为原发性大网膜异位，并讨论了其成因、诊断及影响。结论原发性大网膜异位可通过CT诊出，伴有肝胆病变或行肝胆手术时须引起重视。
목적：감별원발성대망막이위여병이성대망막이위，봉부림상자료。방법대일구복이마림처리후적남성시체진행해부시，견기복강내대망막미안정상규률하수지소장전방，이시상행복개지간면。결합상관문헌，통과여량충병이성적대망막이위대비，인해대망막광활、평정，미견포괴、점련，고배제대망막병변가능，고필위원발성대망막이위。재침대기원발성적특점，종성인、진단、영향등방면진행분석，종이대해한견변이주출비교전면적묘술。결과학진위원발성대망막이위，병토론료기성인、진단급영향。결론원발성대망막이위가통과CT진출，반유간담병변혹행간담수술시수인기중시。
Objective Identify the difference between the primary ectopy of greater omentum and the pathological shift of greater omentum to enrich the clinical data. Methods When we dissected a cadaver disposed with formalin, we saw the greater omentum of the cadaver moved upward and covered the liver instead of drooping to the front of the intestine. Combining the relevant literature and comparing with two kinds of pathological shift, we excluded the possibility of the disease of greater omentum because which was smooth, no mass and no adhesion. So the variation was considered as a primary ectopy. Then we analyzed the cause,diagnosis and influence of it basing on its feature of primary so as to make a comprehensive description of this variation. Results The case was defined as the primary ectopy of greater omentum and the cause,diagnosis and influence of it was discussed in the article. Conclusion This variation can be diagnosed by CT. It should be pay more attention when the disease or surgery of liver or gallbladder is associated with it.