Korean J Gastrointest Endosc > Volume 30(5); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(5): 281-285.
장중첩증을 유발한 맹장의 염증성 섬유양 용종 1예
박세영·강현구·이현재·나경준·이재영·이동현·이태영·김상현·송철수·김민석*·서지영
좋은삼선병원 내과, *외과, 병리과
A Case of Inflammatory Fibroid Polyp of the Cecum Causing Intussusception
Se Young Park, M.D., Hyon Goo Kang, M.D., Hyun Jai Lee, M.D., Gyoung Jun Na, M.D., Chae Yong Yi, M.D., Dong Hyeon Lee, M.D., Tae Yeong Lee, M.D., Sang Hyun Kim, M.D., Chul Soo Song, M.D., Min Seok Kim, M.D.* and Ji Young Seo, M.D.
Departments of Internal Medicine, *General Surgery and Pathology, Good Samsun Hospital, Busan, Korea
Abstract
Inflammatory fibroid polyp is a polypoid lesion of the gastrointestinal tract, composed of fibrous tissue, blood vessels, and inflammatory infiltration often dominated by eosinophilic leukocytes. It is infrequent, localized, and non-neoplastic condition. It is most often formed in the gastric antrum and ileum, and rarely in the esophagus, small bowel or colon. The polyp in the stomach is mainly located in the submucosa of the antrum, and may cause intermittent epigastric pain, vomiting, antral obstructive symptoms or rarely bleeding. When present in small bowel, it is usually localized in the ileum and presents with obstructive symptoms but clincal manifestations are different according to the location. Intussusception resulting from the mass is not common. We report a case of inflammatory fibroid polyp of the cecum causing intussusception. A 42-year-old male patient was referred to the hospital for the evaluation of right lower quadrant abdominal pain and palpable mass. A contrast-enhanced CT scan of the whole abdomen and colonoscopic examination revealed intussusception with a cecal mass. Inflammatory fibroid polyp causing intussusception was histologically confirmed by surgical wedge resection. (Korean J Gastrointest Endosc 2005;30:281⁣285)
Key Words: Inflammatory fibroid polyp, Intussusception, Cecum
주요어: 염증성 섬유양 용종, 맹장, 장중첩증
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