Korean J Gastrointest Endosc > Volume 29(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(3): 156-159.
소장지방종에 의해 감돈된 성인 장중첩증 1예
김태희·양성연·권수경·박정하·배경임·이상헌·지삼룡·박은택·이상혁·설상영·정정명·김운원*·오상훈*·최수임
인제대학교 의과대학 내과학교실, *외과학교실, 해부병리학교실
A Case of Strangulated Intussusception Caused by the Small Intestinal Lipoma in Adult
Tae Hee Kim, M.D., Sung Yeun Yang, M.D., Soo Kyoung Kwon, M.D., Jeong Ha Pak, M.D., Kyung Im Bae, M.D., Sang Heon Lee, M.D., Sam Rong Jee, M.D., Eun Taek Pak, M.D., Sang Hyuk Lee, M.D., Sang Yong Seol, M.D., Jung Myung Chung, M.D., Woon Won Kim, M.D.*, Sa
Departments of Internal Medicine, *General Surgery and Pathology, Inje University College of Medicine, Busan, Korea
Abstract
An intussusception in adulthood is an unusual cause of bowel obstruction. It accounts for up to 5% of all intussusception. Approximately 90% of cases are secondary to a definite lesion such as malignancy or lipoma. Most patients are asymptomatic and the lesion is often detected incidentally at colonoscopy, operation and autopsy. Strangulated intussuscetion is a rare case and also requires emergency operation. A 32-year-old woman visited our emergency room because of severe epigastric pain. Abdominal CT revealed a low density mass in bowel loop and distended small bowel loops filled with fluid. Colonoscopic finding showed huge purple-colored coil-spring lesion in the ascending colon. From this findings, we diagnosed a strangulated intussusception. Surgically removed specimen revealed a small intestinal lipoma. (Korean J Gastrointest Endosc 2004;29:156⁣159)
Key Words: Strangulation, Intussusception, Small intestine, Lipoma, Adult
주요어: 감돈, 장중첩증, 소장지방종, 성인
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