Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 971-974.
충수병변이 선행된 비전형적 궤양성 대장염 1예 ( A Case of Atypical Ulcerative Colitis Initially Presented as the Appendiceal Lesion )
강경의(Kyung Eui Kang),김효종(Hyo Jong Kim),장영운(Young Woom Chang),김윤화(Yoon Wha Kim),박현주(Hyun Hoo Park),동석호(Seok Ho Dong),김병호(Byung Ho Kim),이정일(Jung Il Lee),장린(Rin Chang)
Abstract
Ulcerative colitis (UC) is an inflammatory disease primarily involving the colonic mucosa. The extension of classic UC is uniform and continuous with no intervening areas of normal mucosa. The rectum is usually involved and the inflammation extends proximally in a continuous fashion for a variable distance. However, as more patients get colonoscoped, it had been reported that there is a wide spectrum to what is called UC. There appear to be a few patients with otherwise typical UC but with rectal sparing. And also there are patients with classic distal UC who have an isolated area of cecal disease and segmental UC with skipped area. We have experienced a case of atypical UC initially presented as a isolated lesion around the appendiceal orifice with the segmental distribution of inflammatory change without an active inflammatory lesion in the rectum. It was considered that understanding of the significance of an isolated lesion in the appendix would contribute to the elucidation of the pathogenesis of UC. (Korean J Gastrointest Endosc 19: 971∼974, 1999)
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