점막하 종양으로 오인된 공장의 Dieulafoy 병변 1예 |
정해원ㆍ김진용ㆍ김상중ㆍ장태훈ㆍ최원석ㆍ이지인 |
성균관대학교 의과대학 삼성서울병원 내과학교실 |
A Case of a Jejunal Dieulafoy's Lesion Mimicking a Submucosal Tumor |
Hae Won Jeong, M.D., Jin Yong Kim, M.D., Sang Jung Kim, M.D., Tae Hoon Jang, M.D., Won Seok Choi, M.D. and Ji In Lee, M.D. |
Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
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Abstract |
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Dieulafoy's lesion is a rare cause of severe gastrointestinal bleeding. In most cases, Dieulafoy's lesion is typically found in the stomach within 6 cm from the gastroesophageal junction, but the presence of lesions has also been described throughout the gastrointestinal tract. A jejunal Dieulafoy's lesion is extremely rare, and only a few cases have been reported in the Korean population. We experienced a case of a jejunal dieulafoy's lesion mimicking a submucosal tumor that presented with massive gastrointestinal bleeding. The lesion was diagnosed by the use of double balloon enteroscopy and was then confirmed by a pathological examination of the surgical specimen. (Korean J Gastrointest Endosc 2008;37:438-442) |
Key Words:
Dieulafoy's lesion, Jejunum, Double balloon enteroscopy, Submucosal tumor |
주요어:
Dieulafoy 병변, 공장, 이중풍선소장내시경, 점막하 종양 |
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