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Korean J Gastrointest Endosc > Volume 32(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(3): 205-209.
십이지장 정맥류로 오인된 위장관 간질종양 1예
김태우·김민수·장정원·이인석·배시현·최종영·최명규·윤승규·정인식
가톨릭대학교 의과대학 내과학교실
A Case of Duodenal Gastrointestinal Stromal Tumor Mimicking Isolated Duodenal Varix
Tae Woo Kim, M.D., Min Soo Kim, M.D., Jeong Won Jang, M.D., In Seok Lee, M.D., Si Hyun Bae, M.D., Jong Young Choi, M.D., Myung-Gyu Choi, M.D., Seung Kew Yoon, M.D. and In-Sik Chung, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
Gastrointestinal stromal tumors (GIST) are generally located in the stomach and small intestine, and they present most with commonly abdominal pain. However, the duodenum is an unusual location and is commonly associated with gastrointestinal bleeding. A 51-year-old female was admitted for a 15-day history of melena and malaise. A cystic mucosal lesion featuring an isolated duodenal varix was observed by gastroduodenoscopy. Abdominal CT revealed a tortuous vascular structure at the posterior wall of the duodenum. Endoscopic Histoacryl injection therapy at the cystic mucosal lesion and a duodenal segmental resection were performed. The procedure was successful. Microscopic observation revealed GIST. We report a case of a duodenal GIST mimicking an isolated duodenal varix. (Korean J Gastrointest Endosc 2006;32:205⁣209)
Key Words: Gastrointestinal stromal tumor, Duodenum, Varix
주요어: 위장관 간질종양, 십이지장, 정맥류
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