| 직장 유암종에 대한 내시경적 절제술 시행 후 12일째 발생한 대량 지연 출혈 1예 |
| 김소미ㆍ윤세영ㆍ최훈ㆍ공재환ㆍ라성수 |
| 단국대학교 의과대학 내과학교실 |
| A Case of Delayed Massive Hemorrhage after Endoscopic Resecting a Rectal Carcinoid Tumor |
| So Mi Kim, M.D., Se Young Yun, M.D., Hoon Choi, M.D., Jae Huan Kong, M.D. and Sung Soo La, M.D. |
| Department of Internal Medicine, Dankook University College of Medicie, Cheonan, Korea |
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| Abstract |
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Endoscopic resection is currently accepted as a standard therapy for colon polyp because of its safety and efficiency. The indications for endoscopic resection have been expanded to treat mucosal colon cancer and submucosal tumor. The major complications of endoscopic resection are hemorrhage, perforation and post- polypectomy coagulation syndrome. Hemorrhage is the most common complication, and this can occur immediately following colonoscopic polypectomy or it can be delayed after completion of the procedure. Delayed hemorrhage usually occurs within 7 days and this can stop by itself or the hemorrhage can be controlled endoscopically in the majority of patients, with only the unusual and serious cases requiring transfusion, angiography and surgery. We experienced a case of delayed massive hemorrhage with hypotension that required transfusion 12 days after performing endoscopic resection for rectal carcinoid tumor. We report here on this case to provide a good example and to place emphasis on delayed massive hemorrhage after endoscopic resection. (Korean J Gastrointest Endosc 2009;38: 111-115) |
| Key Words:
Endoscopic resection, Colonoscopic polypectomy, Delayed hemorrhage, Massive hemorrhage |
| 주요어:
내시경적 절제술, 용종 절제술, 지연 출혈, 대량 출혈 |
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