Korean J Gastrointest Endosc > Volume 30(4); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(4): 226-229.
대장내시경으로 정복된 성인의 특발성 회맹장형 장중첩증 1예
김경민·김종한·하태인·정상렬·문성수·이은아·이수형·배용목·허정호·변용선*
대동병원 내과, *방사선과
A Case of Adult Idiopathic Ileocecal Intussusception Reduced by Colonoscopy
Kyoung Min Kim, M.D., Jong Han Kim, M.D., Tae In Ha, M.D., Sang Ryul Chung, M.D., Seung Soo Moon, M.D., Eun A Lee, M.D., Soo Hyoung Lee, M.D., Yong Mok Bae, M.D., Jeong Ho Heo, M.D. and Yong Seon Pyeun, M.D.*
Departments of Internal Medicine and *Radiology, Daedong Hospital, Busan, Korea
Abstract
Intussusception frequently occurs in children as the main causes of intestinal obstruction in childhood but relatively rare in adult. A 65-year-old male visited our hospital because of abrupt onset right lower quadrant pain with tenderness for three days. He had a previous history of appendectomy and alcoholic liver cirrhosis. On physical exam, bowel sound was decreased. Abdomen ultrasonography showed a kidney like mass and abdominal computed tomography revealed the typical target lesion in the ileocecal area. Colonoscopy was performed which failed to find any lesion leading to intussusception. After the colonoscopy, the abdminal pain had disappeared, and we would not find any intussusception sign by abdominal ultrasonography. Colonocopy was done two weeks later. No pathologic lesion was found, then. We report a case of adult idiopathic ileocecal intussusception reduced by colonoscopy. (Korean J Gastrointest Endosc 2005;30:226⁣229)
Key Words: Adult idiopathic intussusception, Colonoscopic reduction
주요어: 특발성 장중첩증, 대장 내시경적 정복
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