Korean J Gastrointest Endosc > Volume 33(5); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(5): 313-317.
용종 절제술로 치료한 S상 결장의 용종양 동정맥 기형 1예
정지민·심기남·최문영·송현주·유금혜·염혜정·김태헌·정성애·유권·문일환·이시내*
이화여자대학교 의과대학 내과학교실, *병리과학교실, 의과학연구소
A Case of Polypoid Arteriovenous Malformation Treated by Polypectomy with Detachable Snare
Ji Min Jung, M.D., Ki-Nam Shim, M.D., Moon Young Choi, M.D., Hyun Joo Song, M.D., Kum Hei Ryu, M.D., Hye Jung Yeom, M.D., Tae Hun Kim, M.D., Sung-Ae Jung, M.D., Kwon Yoo, M.D., Il Hwan Moon, M.D. and Si Nae Lee, M.D.*
Departments of Internal Medicine and *Pathology, Ewha Medical Research Institute, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
Arteriovenous malformations are degenerative lesions of the gastrointestinal tract that occur with a frequency that increases with increasing age. Although the bleeding caused by arteriovenous malformations is typically chronic, slow, intermittent and recurrent, 15% of patients with arteriovenous malformations present with massive bleeding. Any part of the gastrointestinal tract can be involved and arteriovenous malformations usually appear on endoscopy as either flat or elevated discrete bright red mucosal lesions. There are a few cases of colonic arteriovenous venous malformations with a polypoid appearance with some of their endoscopic treatments resulting in profuse bleeding from the remnant stalk. We encountered a case of a polypoid arteriovenous malformation in the colon of a 69-year-old patient with active gastrointestinal bleeding. The patient was treated successfully by an endoscopic polypectomy with a detachable snare. (Korean J Gastrointest Endosc 2006;33:313⁣317)
Key Words: Polypoid ateriovenous malformation, Endoscopic polypectomy, Detachable snare
주요어: 용종양 동정맥 기형, 용종 절제술, 박리성 올가미
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