대량출혈을 동반한 하행결장의 동정맥 기형 1예 |
신영국ㆍ정진태ㆍ권정석ㆍ성명준ㆍ이한일*ㆍ조창호† |
대구가톨릭대학교 의과대학 소화기내과학교실, *외과학교실, †병리과학교실 |
A Case of Arteriovenous Malformation of the Descending Colon Presenting with Massive Bleeding |
Young Kook Shin, M.D., Jin Tae Jung, M.D., Jung Seok Kwon, M.D., Myung Jun Seong, M.D., Han Il Lee, M.D.* and Chang Ho Cho, M.D.† |
Departments of Internal Medicine, *General Surgery and †Pathology, Catholic University of Daegu School of Medicine, Daegu, Korea |
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Abstract |
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Arteriovenous malformation is a rare cause of lower gastrointestinal bleeding in patients younger than 50 years of age and is characterized by recurrent, painless, massive bleeding and chronic anemia without a remarkable prior or family history. The most commonly sites involved are the ascending colon and small bowel. This condition rarely involves the stomach and descending colon. Until recently, there has been only one case report on arteriovenous malformation of the descending colon in Korea. We report a case of a 32 year old male patient who presented with massive lower gastrointestinal bleeding and had been diagnosed with arteriovenous malformation of the descending colon after undergoing colonoscopy and abdomen CT with contrast enhancement. The patient underwent left hemicolectomy because of persistent bleeding despite conservative management. (Korean J Gastrointest Endosc 2007; 35:351-354) |
Key Words:
Arteriovenous malformation, Descending colon |
주요어:
동정맥 기형, 하행결장 |
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