Korean J Gastrointest Endosc > Volume 29(1); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(1): 32-35.
장중첩증으로 발현된 선종성 변화를 동반한 단일 연소성 용종
임현택·이정화·김정은·홍성진·왕준호*·이재동*·최영칠·김상윤
건국대학교 의과대학 소아과학교실, *내과학교실, 방사선학교실, 병리학교실
Solitary Juvenile Polyp with Adenomatous Change Presenting as Colonic Intussusception
Hyun Taek Lim, M.D., Jung Hwa Lee, M.D., Jeong Eun Kim, M.D., Seong Jin Hong, M.D., Joon Ho Wang, M.D.*, Jae Dong Lee, M.D.*, Young Chil Choi, M.D. and Sang Yoon Kim, M.D.
Departments of Pediatrics, *Internal Medicine, Radiology and Pathology, KonKuk University College of Medicine, Chungju, Korea
Abstract
Solitary juvenile polyps are the most common benign hamartomatous polyps in childhood presenting with painless rectal bleeding. It is rare in solitary juvenile polyps with adenomatous change which is associated with increased risk for gastrointestinal cancer. We report a rare case of a solitary juvenile polyp with adenomatous change and causing colonic intussussection in a 6 year old girl, who presented symptoms of lower abdominal pain, vomiting, and hematochezia. The colonic intussussception was reduced during the colon barium study and a polypoid round mass shadow at the splenic flexure was formed. On colonoscopy, it was seen as a single huge polyp impacted to the splenic flexure lumen. Endoscopic polypectomy was performed. The histologic evaluation revealed the characteristic features of a juvenile poloyps with adenomatous change. (Korean J Gastrointest Endosc 2004;29:32⁣35)
Key Words: Juvenile polyp, Intussusception, Adenomatous change
주요어: 연소성 용종, 장중첩증, 선종
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