Korean J Gastrointest Endosc > Volume 25(6); 2002 > Article
Korean Journal of Gastrointestinal Endoscopy 2002;25(6): 475-479.
대장 내시경으로 진단된 충수돌기 점액류 3예
이무현·최민석·채현석·이보인·조영석·김성수·최 황·한석원· 이창돈·최규용·정인식·선희식·안창혁*·이은정
가톨릭대학교 의과대학 내과학교실, *외과학교실, 임상병리학교실
Three Cases of Appendiceal Mucocele Diagnosed by Colonoscopic Examination
Moo Hyun Lee, M.D., Min Seok Choi, M.D., Hiun Suk Chae, M.D., Bo In Lee, M.D.,Young Seok Cho, M.D., Sung Soo Kim, M.D., Hwang Choi, M.D., Sok Won Han, M.D.,Chang Don Lee, M.D., Kyu Yong Choi, M.D., In Sik Chung, M.D., Hee Sik Sun, M.D.,Chang Hyuk Ahn, M.D
Departments of Internal Medicine, *Surgery and Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Mucocele is a cystic dilatation of the vermiform appendix that contains mucous material. The symptoms are non- specific and the diagnosis is seldom made prior to surgery. The reported prevalence in appendectomy specimens at surgery is 0.2∼0.3%. We have recently experienced three cases of appendiceal mucocele by colonoscopic examination. Two cases showed "volcano sign" which is typical colonoscopic feature of a smooth mound with normal overlying mucosa surrounding the appenciceal orifice. The first case was a 67-year-old male who presented for diagnostic work-up of stomach cancer. Abdomen CT suggested appendiceal mucocele, and colonoscopy showed volcano sign of mucocele. The second case was a 56-year-old female patient who had a RLQ pain of 2 months duration. The presumptive diagnosis of appendiceal mucocele was made, and we performed appendectomy. The pathologic finding was a hyperplastic mucocele. The third case was a 48- year-old male who had one month history of RLQ pain. Colonoscopy showed markedly protruding mass in the lumen with hyperemic surface, and appendectomy was performed. The pathologic finding was a hyperplastic mucocele. (Korean J Gastrointest Endosc 2002;25:475⁣479)
Key Words: Appendiceal mucocele, Volcano sign, Colonoscopy
주요어: 충수돌기 점액류, 화산징후, 대장 내시경
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