Korean J Gastrointest Endosc > Volume 29(2); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(2): 90-93.
거대 가성용종 및 장간누공을 동반한 크론병 1예
염문선·정성애·이한효·남준식·김성은·백승연*·심기남·유 권·문일환
이화여자대학교 의과대학 내과학교실, *진단방사선과학교실
A Case of Crohn's Disease with Giant Pseudopolyposis and Ileocolic Fistula
Moon-Sun Yeoum, M.D., Sung-Ae Jung, M.D., Han-Hyo Lee, M.D., Jun-Sik Nam, M.D.,Seong-Eun Kim, M.D., Seung-Yon Back, M.D.*, Ki-Nam Shim, M.D.,Kwon Yoo, M.D. and Il-Hwan Moon, M.D.
Departments of Internal Medicine and *Radiology, Ewha Womans University College of Medicine, Seoul, Korea
Pseudopolyp is a common association of ulcerative colitis but may also occur in Crohn's disease, ischemic colitis and infective colitis. Pseudopolyps are results of the repair process, representing islands of granulation tissue surrounded by mucosa with ulceation. When a pseudopolyp is larger than 1.5 cm, it is often called a "giant pseudopolyp". Such lesions of inflammatory origin are often confused with polypoid carcinoma or infiltrating submucosal malignancy. We report a case of asymptomatic Crohn's disease as giant pseudopolyposis mimicking malignancy on sigmoid colon, with a review of relevant literatures. (Korean J Gastrointest Endosc 2004;29:90⁣93)
Key Words: Localized giant pseudopolyposis, Crohn's disease, Ileocolic fistula
주요어: 국소성 거대 가성용종증, 크론병, 장간누공
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