Korean J Gastrointest Endosc > Volume 34(2); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(2): 115-118.
혈변을 일으킨 원위부 하행결장에 발생한 폴립양 혈관지방종 1예
김봉환 · 이원규 · 김영삼 · 김윤형 · 고유순 · 원태식 · 김대진 · 강효승 · 변동일 · 박인식* · 이수남†
인천기독병원 내과, *외과, †해부병리과
A Case of Polypoid Angiolipoma of the Distal Descending Colon as Cause of Hematochezia
Bong Hwan Kim, M.D., Won-Kyu Lee, M.D., Young Sam Kim, M.D., Yun-Hyoung Kim, M.D.,Yoo-Soon Ko, M.D., Tae Sik Won, M.D., Dae Jin Kim, M.D., Hyo Seung Kang, M.D., Dong Il Byun, M.D., In Sik Park, M.D.* and Soo Nam Lee, M.D.†
Departments of Internal Medicine, *General Surgery and †Anatomical Pathology, Incheon Christian Hospital, Incheon, Korea
Abstract
Angiolipoma is a benign tumor that is mainly observed in the subcutaneous tissue and is composed of mature adipose tissue and proliferative blood vessels. However, the condition is rare in the gastrointestinal tract including the colon. There was a case report of angiolipoma of the proximal ileum but there are no reports of angiolipoma of the colon in Korea. A 47-year-old man, who presented with intermittent left lower quadrant pain and hematochezia, underwent contrast enhancement CT, which revealed a huge mass with inhomogeneous density in the distal descending colon. The colonoscopy viewed a large polypoid mass with vascular engorgement, and a laparotomy was performed urgently due to the persistent abdominal pain, intussusception and hematochezia. The histology examination disclosed a benign angiolipoma. We report this case of symptomatic angiolipoma of the distal descending colon.
Key Words: Angiolipoma, Colon, Hematochezia, Lower quadrant pain
주요어: 혈관지방종, 대장, 혈변, 하복부 통증
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